Individual
MRS. KATHRYN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 569-2386
Mailing address
10 JOHN KISSINGER DR, WABASH, IN 46992-1648
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28215678A
IN
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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