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Kristal L Mylin, PA
Medical Physician Assistant in Lebanon, Indiana
NPI 1821405671

Kristal L Mylin is a Medical Physician Assistant based in Lebanon, IN and is specialized in Medical. Kristal L Mylin practices in Lebanon, IN and has the professional credentials of PA. The NPI Number for Kristal L Mylin is 1821405671 and holds a License No. 10001675A (Indiana).

The current practice location address for Kristal L Mylin is 2605 N Lebanon St, Lebanon, IN and can be reached out via phone at 765-485-8000.

Location: 2605 N Lebanon St, Lebanon, IN, 46052-1476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821405671
Provider Name
Kristal L Mylin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2605 N Lebanon St, Lebanon, IN, 46052-1476
Phone Number
765-485-8000
Fax Number
Provider Enumeration Date
07/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300012250 05 IN
institution
Provider Business Practice Location Address Details
Address
2605 N Lebanon St
City
Lebanon
State
Indiana
Zip
46052-1476
Phone Number
765-485-8000
Fax Number
person
Provider Business Mailing Address Details
Address
2605 N Lebanon St
City
Lebanon
State
Indiana
Zip
46052-1476
Phone Number
765-485-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10001675A (Indiana)
Definition
Definition to come...
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