Gjeldum, Kathryn M

Gjeldum, Kathryn M is an individual health care provider with primary practice located at 2150 Gettler St Ste 400 , Dyer IN 46311-2385. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gjeldum, Kathryn M can be contacted via phone (219) 865-0893.

Contact Information

Primary practice address
2150 Gettler St Ste 400 Dyer IN 46311-2385
Phone: (219) 865-0893
Fax: (219) 865-3599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001746A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001746A Indiana

Profile Details

NPI number 1336165406
LBN Legal business name Gjeldum, Kathryn M
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 22nd, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336165406 NPPES
Indiana Other 000000594185 ANTHEM BC/BS
Indiana MEDICAID 200805880 ANTHEM BC/BS

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