Individual
KATHLEEN LYNN BEMENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7700 SARGENT RD, INDIANAPOLIS, IN 46256-1833
(000) 000-0000
Mailing address
7700 SARGENT RD, INDIANAPOLIS, IN 46256-1833
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01036273A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000647923
ANTHEM
IN
05
—
100131990
—
IN
01
—
P01157028
MEDICARE RAILROAD
IN
Enumeration date
11/16/2005
Last updated
05/09/2023
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