MEDICARE: ALLYSON STORIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		IN

General Provider Information

NPI Number	:	1427988583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON STORIE

Provider Business Mailing Address
First Line	:	1205 N HICKORY LN
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46901-6424
Country	:	US
Telephone Number	:	765-398-0765
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 SUNSET AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-3487
Country	:	US
Telephone Number	:	317-940-6026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ ALLYSON STORIE ” Practice Location

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