Karla Kay Alenduff, OTR
Individual provider Active NPI Specialist · Avon, IN
NPI 1285841007 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285841007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 31000437A (IN)
- Practice address
- 75 S County Road 400 E
Avon, IN 46123-9410 - Phone
- (317) 745-5184
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000437A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31000437A | IN | Yes |
Addresses
Primary practice location
75 S County Road 400 E
Avon, IN 46123-9410
Mailing address
5975 Oak Hill East Dr
Plainfield, IN 46168-9317
Phone (317) 203-6300
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.