Individual
KATHRYN C BOROWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1095 BROAD RIPPLE AVE, SUITE A, INDIANAPOLIS, IN 46220-2381
(317) 621-3680
(317) 621-3689
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202364A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005413A
IN
363LF0000X
Family Nurse Practitioner
71005413B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201284370
—
IN
01
—
P01512426
RR MEDCICARE
IN
Enumeration date
01/22/2015
Last updated
11/27/2023
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