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Individual

CARLEEN KAUCKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-NP

Contact information

Practice address
1445 SOUTH LAKE PARK AVE, HOBART, IN 46342
(219) 942-7100
(219) 945-0095
Mailing address
1445 SOUTH LAKE PARK AVE, HOBART, IN 46342
(219) 942-7100
(219) 945-0095

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.010203
IL

Other

Enumeration date
08/09/2013
Last updated
05/13/2015
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