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Individual

PATRICK A KERSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 S DELAWARE ST # 500, INDIANAPOLIS, IN 46204-3746
(317) 415-5747
Mailing address
201 S DELAWARE ST # 500, INDIANAPOLIS, IN 46204-3746

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01050172A
IN
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
01050172A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200314590A
IN
01
P00123789
RR MEDICARE PIN
IN
Enumeration date
05/19/2006
Last updated
07/07/2022
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