Provider Demographics
NPI:1134447071
Name:CLAERBOUT, EMILY KATHLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATHLEEN
Last Name:CLAERBOUT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:811 DR MARTIN LUTHER KING JR ST
Mailing Address - Street 2:APT G
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 N SENATE BLVD
Practice Address - Street 2:B401
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-962-5975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-16
Last Update Date:2020-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01072105A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine