Individual
DR. KATHRYN A. HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 NAVARRE PL STE 6600, SOUTH BEND, IN 46601-1173
(574) 647-8800
(574) 647-8811
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01038697A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098910A
—
IN
Enumeration date
05/26/2006
Last updated
03/30/2021
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