# KATHLEEN STIENSTRA, MD,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427258524
- **Authorized official:** KATHLEEN A STIENSTRA MD (OWNER)
- **Authorized official phone:** (812) 235-4867

## Contact information

- **Practice address:** 1801 N 6TH ST, SUITE 600, TERRE HAUTE, IN 47804-4086
- **Practice address phone:** (812) 235-4867
- **Practice address fax:** (812) 232-8059
- **Mailing address:** 1801 N 6TH ST, SUITE 600, TERRE HAUTE, IN 47804-4086
- **Mailing address phone:** (812) 235-4867
- **Mailing address fax:** (812) 232-8059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01038853A | IN | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 07/18/2007