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General NPI Number Information
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NPI Number | 1477897353
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Entity Type | Individual
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Provider Name | KATHLEEN EXNER ARPN
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Gender | Female
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3500 FRANCISCAN WAY
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-0033
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Country | US
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Telephone | 219-877-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 10752 SPYGLASS CT
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City | CROWN POINT
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State | IN
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Zip | 46307-8043
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Country | US
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Telephone | 708-227-2843
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28241859A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 209009856
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 28241859A
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License Number State | IN
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