Individual
KRISTINE M REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
141 W 22ND ST STE 212, ANDERSON, IN 46016-4389
(765) 648-4138
Mailing address
141 W 22ND ST STE 212, ANDERSON, IN 46016-4389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01057986A
IN
207RR0500X
Rheumatology Physician
Primary
01057986A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804380
—
IN
Enumeration date
07/25/2006
Last updated
08/10/2022
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