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Joy Davis Kannookaden, DPM
Student in an Organized Health Care Education/Training Program in Dyer, Indiana
NPI 1821674359

Joy Davis Kannookaden is a Student in an Organized Health Care Education/Training Program based in Mount Prospect, IN. Joy Davis Kannookaden practices in Dyer, IN and has the professional credentials of DPM. The NPI Number for Joy Davis Kannookaden is 1821674359 and holds a License No. (Indiana).

The current practice location address for Joy Davis Kannookaden is 24 Joliet St, Dyer, IN and can be reached out via phone at 219-865-2141. You can also correspond with Joy Davis Kannookaden through the mailing address at 1704 LIBERTY CT, MOUNT PROSPECT, IL - 60056-1980 (mailing address contact number: 847-902-0905).

Location: 24 Joliet St, Dyer, IN, 60056-1980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821674359
Provider Name
Joy Davis Kannookaden
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
24 Joliet St, Dyer, IN, 60056-1980
Phone Number
219-865-2141
Fax Number
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24 Joliet St
City
Dyer
State
Indiana
Zip
46311-1705
Phone Number
219-865-2141
Fax Number
person
Provider Business Mailing Address Details
Address
24 Joliet St
City
Dyer
State
Indiana
Zip
46311-1705
Phone Number
219-865-2141
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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