Burns, Katelyn Diane
Burns, Katelyn Diane is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Genetic Counselor, MS, Behavioral Health & Social Service Providers / Clinical. Other Service Providers / Genetic Counselor, MS is her primary health care specialty. Burns, Katelyn Diane can be contacted via phone (317) 944-3966.Contact Information
Primary practice address
550 University Blvd
Indianapolis IN 46202-5149
Phone: (317) 944-3966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X | 74000100A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 74000100A | Indiana |
Profile Details
| NPI number | 1427421932 |
|---|---|
| LBN Legal business name | Burns, Katelyn Diane |
| Credentials | MS, LCGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2015 |
| Last updated | Jul 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427421932 | NPPES |
| Indiana | MEDICAID | 300025598 |
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