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

KANEISHA BURRUS

Active Sole Proprietor

KANEISHA BURRUS is a Podiatric Surgery healthcare provider located in INDIANAPOLIS, Indiana. NPI 1124633029 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · INDIANAPOLIS, IN

Registration Details

NPI Number
1124633029
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2020 (5.9104446141688 yrs)
Last Updated
Sep 9, 2020
License
20014891 (IN)
Sole Proprietor
Yes

Practice Information

Address
10853 MISTFLOWER WAY
INDIANAPOLIS, IN, 462353563
Browse IN providers · Browse ZIP 46235
Phone
3174061299
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in INDIANAPOLIS, IN

Name Credential NPI
MS. MARSHA JOHNSON 1114124740
CARMEN MERRIWEATHER MEDICAL ASSISTANT 1164694345
JEPARIS JOHNSON 1992219521
VENETREA LAWANDA GRANT 1710485073
KARA COMBS 1457900375
CLARA BANKS 1386293611
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.