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Contact Information

KIARA L GLENN
645 W 29TH ST
INDIANAPOLIS, IN46208-5009
 Phone: 317-444-1784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1710734678
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/30/2024
Last updated 05/07/2024 - About 2 years ago
Identifiers
IN License # 23-016111-1
IN Medicaid 300080784
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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