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Individual

KRISTIN KELLY HABBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8510
Mailing address
5770 SUSAN DR E, INDIANAPOLIS, IN 46250-1760
(317) 691-9400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004106A
IN

Other

Enumeration date
03/14/2012
Last updated
08/02/2017
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