NPI 1326676024
Kristine Willoughby
Practice location
- Address
- 505 S 25th St, South Bend, IN 46615-2117
- Phone
- (574) 217-5997
Registered specialties (2)
Transportation Broker
Primary
Private Vehicle
Registry record
- NPI
- 1326676024
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Mar 2020
- Record last updated
- 29 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.