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Kathryn Wallace, APRN, BC
NPI 1407965320 · on the registry since 2006
Practice
- Address
- 2640 Hamstrom Rd
Portage, IN 46368 - Phone
- (219) 762-4423
- Fax
- (219) 763-3120
- Organisation at this address
- New Beginnings Suboxone Treatment, Llc Corp
Internal Medicine,Geriatrics And Oncology Group, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-17
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