Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 11336408-1205 | UT |
NPI | 1578901401 |
---|---|
Provider Name | Kristen Noel Ameel |
First Address | Indianapolis, IN 46202-5225 |
Second Address | Indianapolis, IN 46202-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 16/10/2021 |