IndividualActive
Chloe Koedyker, PA-C
NPI 1669208039 · Surgical Physician Assistant · Chesterton, IN
Provider details
- NPI number
- 1669208039
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone: (219) 921-1444
Fax: (219) 921-5303
Approximate (ZIP-level) locationGet directions
Mailing address
601 Gateway Blvd N
Chesterton, IN 46304-9658
Registry dates
- Enumerated
- 2024-09-11
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.