Individual
KRISTA IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16959 KINGSBRIDGE BLVD, WESTFIELD, IN 46074-7800
(219) 476-5728
Mailing address
16959 KINGSBRIDGE BLVD, WESTFIELD, IN 46074-7800
(219) 476-5728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001696A
IN
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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