Individual
KRISTY HANTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2332
(317) 706-7246
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-4790
(317) 706-7246
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71017440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300127559
—
IN
Enumeration date
11/18/2025
Last updated
06/17/2026
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