Healthcare Provider Details

I. General information

NPI: 1558019505
Provider Name (Legal Business Name): KEVIN BRAUN FLINN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 N SECTION ST
SULLIVAN IN
47882
US

IV. Provider business mailing address

PO BOX 10
SULLIVAN IN
47882-0010
US

V. Phone/Fax

Practice location:
  • Phone: 812-268-4311
  • Fax:
Mailing address:
  • Phone: 812-268-4311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71012386A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71012386A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: