Rea, Kristine M
Rea, Kristine M is an individual health care provider with primary practice located at 141 W 22Nd St Ste 212 , Anderson IN 46016-4389. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Rea, Kristine M can be contacted via phone (765) 648-4138.Contact Information
Primary practice address
141 W 22Nd St Ste 212
Anderson IN 46016-4389
Phone: (765) 648-4138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01057986A | Indiana |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01057986A | Indiana |
Profile Details
| NPI number | 1174546907 |
|---|---|
| LBN Legal business name | Rea, Kristine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Aug 10th, 2022 - about 4 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 | 1174546907 | NPPES |
| Indiana | MEDICAID | 200804380 |
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