Individual
KATHERINE E CHOBANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
727 N LINCOLN RD, ROCKVILLE, IN 47872-1117
(765) 569-1123
Mailing address
727 N LINCOLN RD, ROCKVILLE, IN 47872-1117
(765) 569-1123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005603A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02005603A
LICENSE
IN
05
—
201360730
—
IN
Enumeration date
04/07/2016
Last updated
11/04/2024
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