Individual
KRISTEN L. EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1434 CHESTER BLVD, RICHMOND, IN 47374-1947
(765) 962-1600
(765) 962-9641
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-1905
(765) 935-1910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006685A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001067909
ANTHEM
—
05
—
201407320
—
IN
Enumeration date
12/13/2016
Last updated
01/05/2024
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