Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 35121245 | OH |
NPI | 1013054394 |
---|---|
Provider Name | Kathryn Shrift |
First Address | Indianapolis, IN 46250-2041 |
Second Address | Indianapolis, IN 46250-2041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 05/04/2021 |