Kay S Deford NP

NPI 1750542759 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1750542759
Gender Female
Enumeration Date 06/23/2008
Last Updated 05/21/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1800 N CAPITOL AVE
NP E-140
INDIANAPOLIS IN, 46202-1218, US
Phone (317) 962-2894
Fax (317) 963-5285
Business Location
250 N SHADELAND AVE
STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Indiana
License Number 71001452A
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According to our database, Kay S Deford NP NPI is 1750542759, taxonomy code is 363LA2100X and license number is 71001452A, license state is located at Indiana. Kay S Deford NP physically located at 1800 N Capitol Ave, Indianapolis IN, 46202-1218. NPI Number Kay S Deford NP has the Individual type.

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1750542759 NPI number is provided on an as is basis without warranty of any kind. 1750542759 is maintained by the National Plan & Provider Enumeration System. The contents of Kay S Deford NP are for informational purposes only.