Doctor Name: | KATHRYN BACHMAN |
NPI Number: | 1124430459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 02004724A |
Business Practice Address: | 10122 E 10th St Suite 100 Indianapolis, IN - 462292663 |
Business Phone Number: | 3173555717 |
Business Fax Number: | 3173553760 |
Mailing Address: | 6626 E 75th St, Ste 500 INDIANAPOLIS |
State: | IN |
Postal Code: | 462502890 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/21/2014 |
NPI Last Update Date: | 10/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02004724A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |