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Contact Information

AMANDA KAZLAUSKAS
1201 HADLEY RD
MOORESVILLE, IN46158-1737
 Phone: 317-831-1160
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for AMANDA KAZLAUSKAS · (Female)

NPI Number 1598452765
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2023
Last updated 04/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 28273205A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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