Individual
MR. KENNETH REBEL NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, DTS
Contact information
Practice address
840 E STATE ROAD 14, WINAMAC, IN 46996-7755
(574) 225-1210
Mailing address
840 E STATE ROAD 14, WINAMAC, IN 46996-7755
(574) 225-1210
(574) 946-4775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28161533A
IN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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