Healthcare Provider Details

I. General information

NPI: 1871577692
Provider Name (Legal Business Name): KATHRYN ESCHMANN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W 10TH ST
INDIANAPOLIS IN
46202-2859
US

IV. Provider business mailing address

5792 COOPERS HAWK DR
CARMEL IN
46033-8942
US

V. Phone/Fax

Practice location:
  • Phone: 317-630-7791
  • Fax:
Mailing address:
  • Phone: 317-523-7744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number02002032A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: