Individual
MS. KYRA DEE TATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1381
(812) 275-1299
Mailing address
18237 CROWNHILL DR, SOUTH BEND, IN 46637-4326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005695A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040329
MEDICARE PTAN
IN
05
—
300051488
—
IN
Enumeration date
09/11/2007
Last updated
06/17/2026
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