Individual
DR. HAL D KIPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, ROOM 1204A, INDIANAPOLIS, IN 46202-1239
(317) 962-6793
(317) 962-8281
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01056344A
IN
2085R0202X
Diagnostic Radiology Physician
036139022
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373466
ANTHEM BCBS
IN
05
—
200184000
—
IN
05
—
959090125
—
IN
01
—
P00742626
RAILROAD MEDICARE
IN
Enumeration date
08/09/2006
Last updated
03/02/2022
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