Individual
KATHERINE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9041 COLGATE ST, INDIANAPOLIS, IN 46268-1210
(317) 622-8097
Mailing address
9041 COLGATE ST, INDIANAPOLIS, IN 46268-1210
(317) 622-8097
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
06/13/2024
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