Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 12010821A | IN |
NPI | 1053513283 |
---|---|
Provider Name | Dr. Karen Rose Kamer |
First Address | Indianapolis, IN 46250-4224 |
Second Address | Fishers, IN 46038-2318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/07/2007 |