MEDICARE: KATELIN BELLE PARKINSON ND

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	175F00000X	Naturopath	099.0120290	VT

General Provider Information

NPI Number	:	1922522960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELIN BELLE PARKINSON ND

Provider Business Mailing Address
First Line	:	2131 N PENNSYLVANIA ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1439
Country	:	US
Telephone Number	:	984-888-9009
Fax Number	:

Provider Business Practice Location Address
First Line	:	6155 N COLLEGE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1957
Country	:	US
Telephone Number	:	317-969-5524
Fax Number	:

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

Provider Enumeration Date	:	08/01/2017
Last Update Date	:	08/01/2017

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