Kari Innenberg
in Muncie, IN. Individual provider (NPI-1).
NPI number1669913745
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1669913745
- Entity type
- Individual (NPI-1)
- Name
- Kari Innenberg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2017
- Last updated
- Mar 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | CO005653 | IN | Yes |
Practice location
3301 W Fox Ridge LnMuncie, IN 47304-6364
Phone 765-288-3886 · Fax 765-288-3884
Mailing address
7735 W Jefferson BlvdSte C
Fort Wayne, IN 46804-4135
Phone 260-483-5219 · Fax 260-484-2291
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