| Ms Kristin Joy Kile, CNM | |
|
621 Memorial Dr, Ste 403, South Bend, IN 46601-1063 | |
| (574) 647-1405 | |
| Not Available |
| Full Name | Ms Kristin Joy Kile |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 621 Memorial Dr, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447241179 | NPI | - | NPPES |
| 200305340 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 7200053A (Indiana) | Primary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Entity Name | Healthlinc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristin Joy Kile, CNM 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840 | Ms Kristin Joy Kile, CNM 621 Memorial Dr, Ste 403, South Bend, IN 46601-1063 Ph: (574) 647-1405 |
Amber Taylor, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 | |
Hannah Grace Yoder, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 547-647-1405 | |
Mrs. Shannon Lee Luczak, APN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 | |
Laura Theresa Mabry, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 | |
Emilie Harvey, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 | |
Melissa E Holderread, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 |