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Individual

KRISTEN IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2172
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2172

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11015993A
IN
207V00000X
Obstetrics & Gynecology Physician
4301096586
MI

Other

Enumeration date
07/10/2010
Last updated
06/22/2011
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