# KEARN D HINCHMAN D O INC

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

## Provider details

- **NPI number:** 1508046624
- **Authorized official:** MARY C HINCHMAN (OFFICE MANAGER)
- **Authorized official phone:** (574) 258-6316

## Contact information

- **Practice address:** 53779 GENERATIONS DR STE 1, SOUTH BEND, IN 46635-1576
- **Practice address phone:** (574) 258-6316
- **Practice address fax:** (574) 258-6307
- **Mailing address:** 53779 GENERATIONS DR STE 1, SOUTH BEND, IN 46635-1576
- **Mailing address phone:** (574) 258-6316
- **Mailing address fax:** (574) 258-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 02001423A | IN | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 11/21/2007
