| Doctor Name: | MRS. KAWANYA E MUHAMMAD |
| NPI Number: | 1043592694 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 71003688A |
| Business Practice Address: | 1902a Churchman Ave Beech Grove, IN - 461071042 |
| Business Phone Number: | 3178591090 |
| Business Fax Number: | 3178593322 |
| Mailing Address: | Po Box 100, BEECH GROVE |
| State: | IN |
| Postal Code: | 461070100 |
| Phone Number: | 3178591090 |
| Fax Number: | 3178593322 |
| NPI Enumeration Date: | 09/09/2011 |
| NPI Last Update Date: | 03/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003688A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |