KIVEN BONONGWE

INDIANAPOLIS, IN
NPI1326821273
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  28191899A)
Enumeration Date2023-08-15
Last Update Date2023-08-17
Business Address
Mr. KIVEN BONONGWE FNP
2240 E 53RD ST # B1
INDIANAPOLIS, IN 46220-3479
Phone number: 317-207-9256
Mailing Address
Mr. KIVEN BONONGWE FNP
9896 SOARING EAGLE LN
FISHERS, IN 46055-6192
Phone number: 317-640-5244
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