| Midwest Skin Institute | |
|
8601 N Kentucky Ave Suite I Evansville IN 47725-6371 | |
| (812) 491-6772 | |
| (812) 491-0758 |
| Full Name | Midwest Skin Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 8601 N Kentucky Ave, Evansville, Indiana |
| Authorized Official Name and Position | Stacey Kahre (CO-OWNER) |
| Authorized Official Contact | 8124916772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Skin Institute 8601 N Kentucky Ave Suite I Evansville IN 47725-6371 Ph: (812) 491-6772 | Midwest Skin Institute 8601 N Kentucky Ave Suite I Evansville IN 47725-6371 Ph: (812) 491-6772 |
| NPI Number | 1922237536 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 07/06/2009 |
| Medicare PECOS PAC ID | 2365587052 |
|---|---|
| Medicare Enrollment ID | O20100305000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922237536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 71001222A (Indiana) | Primary |
| Provider Name | Stacey G Kahre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396889598 PECOS PAC ID: 9032205307 Enrollment ID: I20071017000896 |
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