Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tristan Kagan Deaton

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063228518

Tristan Kagan Deaton is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

340 W 10th St Fairbanks Hall Ste 6200
Indianapolis, IN 46202-3082
Phone: (317) 274-8157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063228518
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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