Provider Demographics
NPI:1154508919
Name:INMAN, KATHLEEN TRIPLETT (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:TRIPLETT
Last Name:INMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATHLEEN
Other - Middle Name:ANN
Other - Last Name:TRIPLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:728 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-6218
Mailing Address - Country:US
Mailing Address - Phone:615-414-7914
Mailing Address - Fax:615-379-8070
Practice Address - Street 1:728 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-6218
Practice Address - Country:US
Practice Address - Phone:615-414-7914
Practice Address - Fax:812-379-8070
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002826A111N00000X
TN2249111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I356239OtherMEDICARE PTAN