Provider Demographics
NPI:1841547726
Name:DOYLE, KARA J
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:J
Last Name:DOYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:J
Other - Last Name:DANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1160 E SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-4853
Mailing Address - Country:US
Mailing Address - Phone:812-885-3775
Mailing Address - Fax:812-885-8987
Practice Address - Street 1:406 N 1ST ST STE A
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1358
Practice Address - Country:US
Practice Address - Phone:812-885-6840
Practice Address - Fax:812-885-6841
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71004192A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000830402OtherANTHEM
IN201118610Medicaid
IN258190026OtherMEDICARE