Flannagan, Kathleen A

Flannagan, Kathleen A is an sole proprietor health care provider with primary practice located at 2005 St. Charles Street Suite 4, Jasper IN 47546. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Flannagan, Kathleen A can be contacted via phone (812) 634-6600.

Contact Information

Primary practice address
2005 St. Charles Street Suite 4 Jasper IN 47546
Phone: (812) 634-6600
Fax: (812) 634-6621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35-085231 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01063124A Indiana

Profile Details

NPI number 1700824653
LBN Legal business name Flannagan, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Aug 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700824653 NPPES
Ohio MEDICAID 2633127
Ohio MEDICAID 200520030
Ohio MEDICAID 64110737
Ohio Other 000000363168
Ohio Other 31.1473421

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