Forest, Kandie Ann

Forest, Kandie Ann is an individual health care provider with primary practice located at 2349 Lake Ave Suite 201, Plymouth IN 46563-7835. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Forest, Kandie Ann can be contacted via phone (574) 941-2977.

Contact Information

Primary practice address
2349 Lake Ave Suite 201 Plymouth IN 46563-7835
Phone: (574) 941-2977
Fax: (574) 941-2978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001824A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001824 Indiana

Profile Details

NPI number 1871614594
LBN Legal business name Forest, Kandie Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871614594 NPPES
Indiana MEDICAID 200502780

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