# WOMEN'S HEALTHCARE OF SOUTHERN INDIANA LLC

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

## Provider details

- **NPI number:** 1649352014
- **Authorized official:** DR. KERRIN C DUNN M.D., PHD (OWNER)
- **Authorized official phone:** (812) 923-6200

## Contact information

- **Practice address:** 5300 STATE ROAD 64, SUITE 103, GEORGETOWN, IN 47122-9178
- **Practice address phone:** (812) 923-6200
- **Practice address fax:** (812) 923-6204
- **Mailing address:** 5300 STATE ROAD 64, SUITE 103, GEORGETOWN, IN 47122-9178
- **Mailing address phone:** (812) 923-6200
- **Mailing address fax:** (812) 923-6204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01059399A | IN | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 04/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200071370A | — | IN |
| 01 | — | 219930 | MEDICARE PTAN | IN |
| 05 | — | 7100199000 | — | KY |
