Individual provider · Type 1 NPI
Katherine Blaire Egan, MD
Plastic and Reconstructive Surgery Physician · Indianapolis, IN
NPI number
1790205706
Active
Practice location
545 Barnhill Drive, Emerson Hall 232, Iu School Of Medicine
Indianapolis, IN 46202
Mailing address
4506 N Pennsylvania St
Indianapolis, IN 46205-1730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 01091179A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11019435A (IN) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1790205706
Katherine Blaire Egan, MD's National Provider Identifier is 1790205706, issued on Jun 21, 2017. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 26, 2025.