Individual
KOYAH J BLEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
5718 CRAWFORDSVILLE RD, INDIANAPOLIS, IN 46224-3704
(317) 240-5001
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016434A
IN
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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