Katie Kathren Suiters

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Nineveh, IN

NPI 1992260418 · NPPES record last updated Feb 8, 2019

Key facts

NPI
1992260418
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
7875 Deer Dr
Nineveh, IN 46164-9425
Phone
(317) 599-8473
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

7875 Deer Dr
Nineveh, IN 46164-9425

Mailing address

7875 Deer Dr
Nineveh, IN 46164-9425

Other providers in Nineveh, IN

All providers in Nineveh, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.