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

MARY VAN KOOTEN, MD

Active

MARY VAN KOOTEN, MD is a Family Medicine healthcare provider located in BLOOMINGTON, Indiana. NPI 1619972601 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BLOOMINGTON, IN

Registration Details

NPI Number
1619972601
Provider Type
Individual
Gender
Female
NPI Issued
Jun 16, 2005 (21.141850177589 yrs)
Last Updated
Sep 9, 2023
Licenses
01057928A (IN)
01057928A (IN)

Practice Information

Address
550 S LANDMARK AVE
BLOOMINGTON, IN, 474033239
Browse IN providers · Browse ZIP 47403
Phone
8123556900
Fax
8123335978
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BLOOMINGTON, IN

Name Credential NPI
EMMANUEL N ESPINOSA MD 1558364935
DR. LARRY DEAN RATTS MD 1447252689
DR. JENNIFER KAY WINDERS MD 1922002898
DR. LORI ANN THOMPSON MD 1487658167
JAMES W. LAFOLLETTE M.D. 1831194828
BETH E FLORINI MD 1457356446
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.