State of Indiana
NPI #1982873717 in Knightstown, Indiana
Provider Information
- NPI Number
- 1982873717
- Entity Type
- Organization
- Organization Name
- State of Indiana
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 26, 2008
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 10892 N STATE ROAD 140
- City
- Knightstown
- State
- Indiana
- ZIP Code
- 46148-9769
- Phone
- (765) 345-5141
Authorized Official
- Name
- MR. ALLEN COLLIER
- Title
- ASSISTANT SUPERINTENDENT
- Phone
- (765) 345-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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