Healthcare Provider Details

I. General information

NPI: 1548812191
Provider Name (Legal Business Name): KRISTIN FLEMING PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2019
Last Update Date: 07/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W MAIN ST
DELPHI IN
46923-1441
US

IV. Provider business mailing address

408 BRUNSWICK DR APT 13
LAFAYETTE IN
47909-6983
US

V. Phone/Fax

Practice location:
  • Phone: 765-564-4117
  • Fax: 765-564-3837
Mailing address:
  • Phone: 219-242-0294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26026687A
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: