Provider Demographics
NPI:1215725858
Name:INDY LACTATION CARE,LLC
Entity type:Organization
Organization Name:INDY LACTATION CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:BA, BSN-RN, IBCL-RLC
Authorized Official - Phone:317-450-0258
Mailing Address - Street 1:9855 RIVER OAK LN N
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2131
Mailing Address - Country:US
Mailing Address - Phone:317-450-0258
Mailing Address - Fax:
Practice Address - Street 1:9855 RIVER OAK LN N
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2131
Practice Address - Country:US
Practice Address - Phone:317-450-0258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty