Mahan, Kristin A

Mahan, Kristin A is an individual health care provider with primary practice located at 406 N 1St St , Vincennes IN 47591-1340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mahan, Kristin A can be contacted via phone (812) 882-1106.

Contact Information

Primary practice address
406 N 1St St Vincennes IN 47591-1340
Phone: (812) 882-1106
Fax: (812) 895-2458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01053104A Indiana

Profile Details

NPI number 1487622957
LBN Legal business name Mahan, Kristin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 10th, 2015 - about 10 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 1487622957 NPPES
Indiana MEDICAID 200325700

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