Search › Indiana › 207L00000X
Kathryn Carboneau, M.D
NPI 1487755534 · on the registry since 2006 · sole proprietor
Practice
- Address
- 11115 Pine Bank Ct
Fort Wayne, IN 46845 - Phone
- (260) 471-3223
- Fax
- (260) 482-3938
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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