Individual provider · Type 1 NPI

Katherine Justine Nowakoski, PA-C

Surgical Physician Assistant · Indianapolis, IN

NPI number 1104517275 Active

Practice location

7250 Clearvista Dr
Indianapolis, IN 46256-4692

Call (317) 621-5673 Map

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10004053A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1104517275

Katherine Justine Nowakoski, PA-C's National Provider Identifier is 1104517275, issued on May 18, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 24, 2026.