Individual
KIRSTAN KATHLEEN MELDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8896
(317) 944-7481
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01044956A
IN
2088P0231X
Pediatric Urology Physician
Primary
01044956A
IN
2088P0231X
Pediatric Urology Physician
4301102405
MI
2088P0231X
Pediatric Urology Physician
ME111869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200378780
—
IN
Enumeration date
09/19/2005
Last updated
03/14/2025
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