CENTRAL INDIANA PET LLC NPI 1740472943

NPI Information

CENTRAL INDIANA PET, LLC is a health service clinic center in Indianapolis, IN. CENTRAL INDIANA PET, LLC NPI is 1740472943. The provider is registered as an organization entity type.

The provider's business location address is:

8402 HARCOURT RD
SUITE 721
INDIANAPOLIS, IN
ZIP 46260-074
Phone: (317) 338-6384
Fax: (317) 338-6385

The provider's authorized official is Joanna Sue Klavon .
The authorized official title is Manager and has the following contact phone number (317) 338-6384.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 8/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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