Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 01069432A | IN |
NPI | 1144227109 |
---|---|
Provider Name | Kirsten A Kahle |
First Address | Indianapolis, IN 46268-3129 |
Second Address | Indianapolis, IN 46268-6621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2005 |
Last Update Date | 07/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0445205 | (05) | IA |