Individual
DR. KENNARD B SPROUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, VA MEDICAL CENTER, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
7805 N CRESTWOOD LN, BRAZIL, IN 47834-8279
(812) 841-9184
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
01029027A
IN
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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