Kathryn Riley Borders
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Granger, IN
NPI 1114736394 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1114736394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 14252 Southold Dr
Granger, IN 46530-4267 - Phone
- (574) 261-7493
- NPI assigned
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
14252 Southold Dr
Granger, IN 46530-4267
Mailing address
14252 Southold Dr
Granger, IN 46530-4267
Phone (574) 261-7493
Other providers in Granger, IN
- Black Clover Holdings LLC
- Eugenia Black
- Krista Blankinship
- Kathleen Elaine Blumentritt
- Ashley Elizabeth Bontrager
- Amie Nicole Boulanger
- Ranya Bouzou-Kadi
- Kimberly Boyd
- Martin A Boyd
- Comfort M Boye
All providers in Granger, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.