Individual
KRISTINA M SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Mailing address
9604 COLDWATER RD, SUITE 109, FORT WAYNE, IN 46825-2096
(260) 479-7844
(260) 444-3656
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002234A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200447930
—
IN
Enumeration date
12/20/2005
Last updated
07/08/2024
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