Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Wyeth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780397067

Katelyn Wyeth is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

701 E 17th St
Bloomington, IN 47408-1578
Phone: (812) 855-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780397067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 1, 2023
Mailing address400 E Melrose Ave, Bloomington, IN 47401-1904

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