Healthcare Provider Details

I. General information

NPI: 1841547726
Provider Name (Legal Business Name): KARA J DOYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA J DANT

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 N 1ST ST STE A
VINCENNES IN
47591-1358
US

IV. Provider business mailing address

1160 E SAINT CLAIR ST
VINCENNES IN
47591-4853
US

V. Phone/Fax

Practice location:
  • Phone: 812-885-6840
  • Fax: 812-885-6841
Mailing address:
  • Phone: 812-885-3775
  • Fax: 812-885-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004192A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: