Individual
KIRK HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-5141
(765) 298-5883
Mailing address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-5141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01045309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111430
—
IN
Enumeration date
07/17/2006
Last updated
09/24/2012
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