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Individual

KATHRYN B. EINHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 490-2229
(260) 490-3807
Mailing address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 490-2229
(260) 490-3807

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01039523
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100102680
IN
01
160054729
RAILROAD MEDICARE
IN
05
7617210
NC
Enumeration date
11/14/2005
Last updated
01/22/2014
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