Organization
ROUNDHOUSE EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2760
Mailing address
PO BOX 37784, PHILADELPHIA, PA 19101-5084
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/26/2009
Last updated
09/11/2019
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