Individual
KRISTIN MARY HILLGAMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
404 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46204-2609
(317) 963-2610
(317) 963-2615
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01093722A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01093722A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068011006
MEDICARE PTAN
IN
01
—
1104208878
ANTHEM PTAN
IN
05
—
300093790
—
IN
Enumeration date
03/24/2020
Last updated
03/17/2026
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