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Individual

MRS. NORMA J KREILEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1402 GRAND AVE, WASHINGTON, IN 47501-2122
(812) 254-7310
(812) 257-8602
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310
(812) 257-8602

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01037533
IN
208000000X
Pediatrics Physician
036149288
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000291248
BCBS
05
100110590A
IN
05
100270240A
IN
05
100270240C
IN
01
450494518101
CARE SOURCE
IN
Enumeration date
12/07/2005
Last updated
01/22/2025
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