| Doctor Name: | KATHLEEN A CARLSON |
| NPI Number: | 1043253081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 71000108A |
| Business Practice Address: | 76145th Street Ste. 103 Munster, IN - 46321 |
| Business Phone Number: | 2199223002 |
| Business Fax Number: | 2199223003 |
| Mailing Address: | 761 45th Ave 103, MUNSTER |
| State: | IN |
| Postal Code: | 463212899 |
| Phone Number: | 2199223002 |
| Fax Number: | 2199223003 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | 71000108A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |