Provider Demographics
NPI:1851502199
Name:ABELN, KRISTOPHER TODD (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:TODD
Last Name:ABELN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:800 HIGHLANDER POINT DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9465
Mailing Address - Country:US
Mailing Address - Phone:812-542-4921
Mailing Address - Fax:812-949-5966
Practice Address - Street 1:1919 STATE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4929
Practice Address - Country:US
Practice Address - Phone:812-944-2663
Practice Address - Fax:812-981-7285
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2020-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01072908A207X00000X
KY43690207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100160530Medicaid
IN201176380Medicaid
KYP40019109Medicare PIN
INM54226052Medicare PIN
KY7100160530Medicaid