Individual
DR. KRISTEN W GOLLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01055066A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000238184
ANTHEM HEALTH PLAN
IN
05
—
201316010
—
IN
01
—
2649965001
CIGNA HEALTHCARE
IN
01
—
7622421
AETNA HEALTH PLAN
IN
01
—
P01588216
RR MEDICARE
IN
Enumeration date
11/02/2005
Last updated
11/27/2023
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