MRS. MARLA J. KINNAMAN


Address: 9115 Hague Rd, Indianapolis, IN 46256-1025
Phone: 3175213780

MRS. MARLA J. KINNAMAN (NPI# 1356325484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356325484
Entity Type Individual
Full Name MRS. MARLA J. KINNAMAN
Credential NP
Practice Address 9115 Hague Rd
Indianapolis
IN 46256-1025
Mailing Address 8325 E Southport Rd
Suite 100
Indianapolis
IN 46259-6805
Practice Telephone 3175213780
Practice Fax Number 3175214435
Mailing Telephone 3178626609
Mailing Fax Number 3178624617
Enumeration Date 2005-12-02
Last Update Date 2011-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28113588A IN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
71001395A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9115 HAGUE RD
City INDIANAPOLIS
State IN
Zip Code 46256-1025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980156 Roche Diabetes Care Inc Durable Medical Equipment & Medical Supplies 9115 Hague Rd, Indianapolis, IN 46256-1025 2005-05-31
1063818771 Healthworks Med Group of Indiana P C Clinic/Center 9115 Hague Rd, Indianapolis, IN 46256-1025 2014-11-06
1083880447 Biotel Inr, LLC Durable Medical Equipment & Medical Supplies 9115 Hague Rd, Ste 100, Indianapolis, IN 46256-1025 2008-05-06

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1477062123 Rosalee Ann Miller Social Worker 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 2017-09-26
1760900039 Amye Litherland Registered Nurse 7525 E. 82nd St Ste A, Indianapolis, IN 46256 2017-09-06
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1578922761 Fresenius Medical Care Indiana, LLC Clinic/Center 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 2016-02-16
1477925071 Samantha Kitcoff Physician Assistant 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 2015-10-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46256

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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