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Individual

MRS. KARLEEN ANN MCGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
8012 E 10TH ST STE A, INDIANAPOLIS, IN 46219-5211
(317) 924-8297
(317) 924-8239
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000190A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050611856
ALLERGY ASSOC TAX ID
IN
01
35-1113767
MC TAX ID
IN
01
DE8633
RAILROAD MEDICARE GROUP
01
IN1125001
MEDICARE PTAN
IN
01
IN1126001
MEDICARE PTAN
IN
01
IN1127001
MEDICARE PTAN
IN
Enumeration date
11/18/2005
Last updated
05/09/2019
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