Individual
KIRSTIN P RHINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
517 LINCOLNWAY E, MISHAWAKA, IN 46544-2211
(574) 255-3188
(574) 255-4182
Mailing address
517 LINCOLNWAY E, MISHAWAKA, IN 46544-2211
(574) 255-3188
(574) 255-4182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003234A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292708
BLUE CROSS BLUE SHIELD
IN
01
—
1700876067
NPI
IN
05
—
200442800
—
IN
Enumeration date
10/26/2005
Last updated
12/30/2013
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