Individual
CASEY DANIELLE HURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 S DIXON RD, KOKOMO, IN 46902-6411
(765) 455-5400
(765) 865-3710
Mailing address
2330 S DIXON RD, KOKOMO, IN 46902-6411
(765) 455-5400
(765) 865-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012702A
IN
Other
Enumeration date
06/27/2022
Last updated
07/27/2022
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