Individual
KRISTIN A MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
406 N 1ST ST, VINCENNES, IN 47591-1340
(812) 882-1106
(812) 895-2458
Mailing address
406 N 1ST ST, VINCENNES, IN 47591-1340
(812) 882-1106
(812) 885-2758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01053104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325700
—
IN
Enumeration date
03/10/2006
Last updated
03/10/2015
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