Healthcare Provider Details

I. General information

NPI: 1295716892
Provider Name (Legal Business Name): EMILY BARRIDO-KABIGTING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N WABASH AVE STE 320
MARION IN
46952-2600
US

IV. Provider business mailing address

330 N WABASH AVE SUITE G20
MARION IN
46952-2600
US

V. Phone/Fax

Practice location:
  • Phone: 765-660-7660
  • Fax: 765-662-4990
Mailing address:
  • Phone: 765-660-7600
  • Fax: 765-651-7313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01050333A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: