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Rebekah Kottkamp, FNP-BC
Family Nurse Practitioner in South Bend, Indiana
NPI 1881018729

Rebekah Kottkamp is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Rebekah Kottkamp practices in South Bend, IN and has the professional credentials of FNP-BC. The NPI Number for Rebekah Kottkamp is 1881018729 and holds a License No. 71004841A (Indiana).

The current practice location address for Rebekah Kottkamp is 621 Memorial Dr Ste 402, South Bend, IN and can be reached out via phone at 574-400-4550 and via fax at 574-400-4551.

Location: 621 Memorial Dr Ste 402, South Bend, IN, 46617-1924
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Provider Profile Details
NPI Number
1881018729
Provider Name
Rebekah Kottkamp
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
621 Memorial Dr Ste 402, South Bend, IN, 46617-1924
Phone Number
574-400-4550
Fax Number
574-400-4551
Provider Enumeration Date
02/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000870047 01 IN BCBS BMGSOUTHEAST
201220670 05 IN
178420011 01 IN MEDICARE PTAN
178410010 01 IN MEDICARE PTAN
P01413900 01 IN RR MEDICARE
000000870050 01 IN BCBS BMG CENTENNIAL
000000872005 01 IN BCBS BMG CENTRAL
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 402
City
State
Zip
46601-1074
Phone Number
574-400-4550
Fax Number
574-400-4551
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 402
City
State
Zip
46601-1074
Phone Number
574-400-4550
Fax Number
574-400-4551
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71004841A (Indiana)
Definition
Definition to come...
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