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Individual
KRISTI K ORBAUGH
Active
Individual
KRISTI K ORBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000036A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328310
ANTHEM PIN (QOC)
IN
01
—
000000379921
ANTHEM PIN (ICCC)
IN
01
—
000000523862
ANTHEM PIN (CHOP)
IN
05
—
100475280
—
IN
01
—
P00452367
MEDICARE RR
IN
01
—
P01751210
RR MEDICARE
IN
Enumeration date
02/07/2006
Last updated
11/27/2023
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