Individual
KATHERYN M GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 676-4660
(812) 676-4501
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002119A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71002119A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000393014
ANTHEM PIN NUMBER
IN
Enumeration date
08/29/2006
Last updated
01/08/2026
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