Organization
YOUR CORNER PEDIATRICS, LLC
Active
Other names
Your Corner Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MCGOVERN NP (OWNER)
(317) 676-9943
Entity
Organization
Contact information
Practice address
819 E 64TH ST STE 103, INDIANAPOLIS, IN 46220-1657
(317) 676-9943
(317) 943-9892
Mailing address
819 E 64TH ST STE 103, INDIANAPOLIS, IN 46220-1657
(317) 676-9943
(317) 943-9892
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265662076
NPI NUMBER
IN
01
—
1659923761
NPI NUMBER
IN
Enumeration date
11/16/2023
Last updated
11/16/2023
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