Individual
DR. KATHERINE BLAIRE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 BARNHILL DRIVE, EMERSON HALL 232, IU SCHOOL OF MEDICINE, INDIANAPOLIS, IN 46202
(317) 278-0394
Mailing address
4506 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46205-1730
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01091179A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019435A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300068731
—
IN
Enumeration date
06/21/2017
Last updated
09/26/2025
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