Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 07001229A | IN |
N | 222Z00000X | Podiatrist | 07001229A | IN |
Y | 213ES0103X | Foot & Ankle Surgery | 07001229A | IN |
NPI | 1013357714 |
---|---|
Provider Name | Katherine Cummins |
First Address | Lafayette, IN 47903-4699 |
Second Address | Lafayette, IN 47905-5762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201170910 | (05) | IN |