Kathryn Bongo

NPI 1164714945 · on the registry since 2011 · sole proprietor

Practice

Address: 5980 W 71st St Ste 102
Indianapolis, IN 46278
Phone: (317) 388-0800
Fax: (317) 388-0805
Organisation at this address: Active Home Care Llc
Access Therapies,Inc
Access Therapies At Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 250

Registry record

Primary taxonomy: Contractor
171W00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana