Kinbaum, Mary A
Kinbaum, Mary A is an individual health care provider with primary practice located at 1000 E Main St , Danville IN 46122-1948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kinbaum, Mary A can be contacted via phone (317) 567-2179.Contact Information
Primary practice address
1000 E Main St
Danville IN 46122-1948
Phone: (317) 567-2179
Fax: (317) 567-2191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 28080493 | Indiana |
Profile Details
| NPI number | 1043222425 |
|---|---|
| LBN Legal business name | Kinbaum, Mary A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Dec 4th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043222425 | NPPES |
| Indiana | MEDICAID | 100372420 |
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