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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CASSIDY JO KOONS

Active Sole Proprietor

MRS. CASSIDY JO KOONS is a Student (Health Education/Training) healthcare provider located in KENDALLVILLE, Indiana. NPI 1063207751 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · KENDALLVILLE, IN

Registration Details

NPI Number
1063207751
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2025 (1.3574578732599 yrs)
Last Updated
Apr 12, 2025
Sole Proprietor
Yes

Practice Information

Address
415 DRAKE RD
KENDALLVILLE, IN, 467552007
Browse IN providers · Browse ZIP 46755
Phone
2603470100
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in KENDALLVILLE, IN

Name Credential NPI
MADISON GRACE TARGGART 1538030440
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.