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NPI Code Detail

MEDICARE: KATHRYN MCCONNELL

MEDICARE: KATHRYN MCCONNELL
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1932911393
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MCCONNELL
Provider Business Mailing Address
First Line : 11156 HARRINGTON LN
Second Line :
City : FISHERS
State : IN
Zip : 46038-3207
Country : US
Telephone Number : 480-760-1716
Fax Number :
Provider Business Practice Location Address
First Line : 1022 E 52ND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1205
Country : US
Telephone Number : 317-584-5166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2025
Last Update Date : 03/10/2026

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Directions to “ KATHRYN MCCONNELL ” Practice Location

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