Individual
MISS KATE ELLEN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7015 S KENTUCKY AVE STE 109, CAMBY, IN 46113-9304
(317) 856-4800
(317) 856-6215
Mailing address
4625 S EMERSON AVE, INDIANAPOLIS, IN 46203-5972
(317) 522-2303
(317) 522-2304
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
08002303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556459
BLUE CROSS
IN
01
—
P00470037
MEDICARE RAILROAD NUMBER
IN
Enumeration date
12/13/2006
Last updated
11/14/2013
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