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Individual

DR. KATHLEEN A FLANNAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2005 ST. CHARLES STREET, SUITE 4, JASPER, IN 47546
(812) 634-6600
(812) 634-6621
Mailing address
2005 SAINT CHARLES ST STE 4, JASPER, IN 47546-2271
(812) 634-6600
(812) 634-6621

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01063124A
IN
207W00000X
Ophthalmology Physician
35-085231
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000363168
BCBS
05
200520030
IN
05
2633127
OH
01
31.1473421
TAX ID
05
64110737
KY
Enumeration date
06/03/2006
Last updated
01/14/2026
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