Provider Demographics
NPI:1073865051
Name:RAHN, KRISTIN E
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:E
Last Name:RAHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8403 RAIL FENCE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46835-4464
Mailing Address - Country:US
Mailing Address - Phone:260-804-1960
Mailing Address - Fax:
Practice Address - Street 1:8403 RAIL FENCE RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46835-4464
Practice Address - Country:US
Practice Address - Phone:260-804-1960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula