Healthcare Provider Details

I. General information

NPI: 1679097232
Provider Name (Legal Business Name): ALLISON MACALLISTER KANTER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLISON GAYLE MACALLISTER PA

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9011 N MERIDIAN ST STE 225
INDIANAPOLIS IN
46260-5365
US

IV. Provider business mailing address

9011 N MERIDIAN ST STE 225
INDIANAPOLIS IN
46260-5365
US

V. Phone/Fax

Practice location:
  • Phone: 317-574-4747
  • Fax:
Mailing address:
  • Phone: 317-574-4747
  • Fax: 317-574-4737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10002309A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: