MRS. Cassidy Jo Koons

NPI #1063207751 in Kendallville, Indiana

Provider Information

NPI Number: 1063207751
Entity Type: Individual
Name: MRS. Cassidy Jo Koons
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 12, 2025
Last Updated: Apr 12, 2025

Practice Location

Address: 415 DRAKE RD
City: Kendallville
State: Indiana
ZIP Code: 46755-2007
Phone: (260) 347-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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