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Mr. Kenneth A Havenstrite JR., ANP-BC,NP
Adult Health Nurse Practitioner in Muncie, Indiana
NPI 1861736688

Kenneth A Havenstrite JR. is an Adult Health Nurse Practitioner based in Indianapolis, IN and is specialized in Adult Health. Kenneth A Havenstrite JR. practices in Muncie, IN and has the professional credentials of ANP-BC,NP. The NPI Number for Kenneth A Havenstrite JR. is 1861736688 and holds a License No. 28177733A (Indiana).

The current practice location address for Kenneth A Havenstrite JR. is 2598 W White Rivet Blvd, Muncie, IN and can be reached out via phone at 765-284-7738.

Location: 2598 W White Rivet Blvd, Muncie, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861736688
Provider Name
Kenneth A Havenstrite JR.
Credential
ANP-BC,NP
Provider Entity Type
Individual
Gender
Male
Address
2598 W White Rivet Blvd, Muncie, IN, 46219-4959
Phone Number
765-284-7738
Fax Number
Provider Enumeration Date
11/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2598 W White Rivet Blvd
City
Muncie
State
Indiana
Zip
47303-5251
Phone Number
765-284-7738
Fax Number
person
Provider Business Mailing Address Details
Address
2598 W White Rivet Blvd
City
Muncie
State
Indiana
Zip
47303-5251
Phone Number
765-284-7738
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
28177733A (Indiana)
Definition
Definition to come...
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