Provider Demographics
NPI:1740056019
Name:KROIN, KEIRA E (MSC, CNS CANDIDATE)
Entity type:Individual
Prefix:
First Name:KEIRA
Middle Name:E
Last Name:KROIN
Suffix:
Gender:F
Credentials:MSC, CNS CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11520 MONON FARMS LN
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3302
Mailing Address - Country:US
Mailing Address - Phone:317-690-9146
Mailing Address - Fax:
Practice Address - Street 1:8902 N MERIDIAN ST STE 101
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5306
Practice Address - Country:US
Practice Address - Phone:317-848-8048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist