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NPI Code Detail

MEDICARE: KRISTIN E. RAHN

MEDICARE: KRISTIN E. RAHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1073865051
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN E. RAHN
Provider Business Mailing Address
First Line : 8403 RAIL FENCE RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-4464
Country : US
Telephone Number : 260-804-1960
Fax Number :
Provider Business Practice Location Address
First Line : 8403 RAIL FENCE RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-4464
Country : US
Telephone Number : 260-804-1960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2012
Last Update Date : 10/15/2012

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