| Doctor Name: | KATHERINE CONOVER |
| NPI Number: | 1265802409 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 01040289A |
| Business Practice Address: | 301 Henry St North Vernon, IN - 472651030 |
| Business Phone Number: | 8123524300 |
| Business Fax Number: | |
| Mailing Address: | 8840 Commerce Park Pl Ste E, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462683129 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2015 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 01040289A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |