Provider Demographics
NPI:1285841007
Name:ALENDUFF, KARLA KAY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:KAY
Last Name:ALENDUFF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5975 OAK HILL EAST DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-9317
Mailing Address - Country:US
Mailing Address - Phone:317-203-6300
Mailing Address - Fax:317-243-3753
Practice Address - Street 1:75 S COUNTY ROAD 400 E
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9410
Practice Address - Country:US
Practice Address - Phone:317-745-5184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000437A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist