NPI 1114500592

Kenn Vattathara, MD

Practitioner Psychiatry Physician Munster, IN

Practice location

Address: 720 45th St, Munster, IN 46321-2818
Phone: (219) 852-2513
Fax: (219) 852-2443
Mailing address: PO Box 781076, Detroit, MI 48278-1076

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 01095510A (IN)

Other Psychiatry & Neurology providers in Indiana →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 036172806 (IL)

Registry record

NPI: 1114500592
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2021
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.