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NPI Code Detail

MEDICARE: KAITLIN ANN DIGAN

MEDICARE:   KAITLIN ANN DIGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26024519AIN

General Provider Information

NPI Number : 1598028680
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN ANN DIGAN
Provider Business Mailing Address
First Line : 6119 STELLHORN RD
Second Line : T-1933
City : FORT WAYNE
State : IN
Zip : 46815-5357
Country : US
Telephone Number : 260-485-4697
Fax Number :
Provider Business Practice Location Address
First Line : 6119 STELLHORN RD
Second Line : T-1933
City : FORT WAYNE
State : IN
Zip : 46815-5357
Country : US
Telephone Number : 260-485-4697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2012
Last Update Date : 06/22/2012

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Directions to “ KAITLIN ANN DIGAN ” Practice Location

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