Individual
DR. KATHLEEN A FLANNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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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