Individual
DR. KRISTIN ANN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2136 ROBINSON RD STE 3, JACKSON, MI 49203
(517) 962-5063
(517) 962-5209
Mailing address
1410 W GANSON ST, JACKSON, MI 49202-4063
(517) 962-5063
(517) 962-5209
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000314
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4678677
—
MI
01
—
P00344284
RR MEDICARE
MI
Enumeration date
05/26/2006
Last updated
10/13/2022
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