| NPI | 1669427860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY J. PARNELL Physician Administrator 765-939-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01050034A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 50004846A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01022975A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01063768A) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-04-28 |