Individual
KATHLEEN L. A. STIENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 N 6TH ST STE 600, TERRE HAUTE, IN 47804-4097
(812) 235-4867
(812) 232-8059
Mailing address
1801 N 6TH ST STE 600, TERRE HAUTE, IN 47804-4097
(812) 235-4867
(812) 232-8059
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
01038853
IN
207Q00000X
Family Medicine Physician
Primary
01038853
IN
207Q00000X
Family Medicine Physician
G5853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100368690
—
IN
Enumeration date
11/02/2005
Last updated
10/07/2011
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