Individual
DR. ANTHONY DAVID KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01067215A
IN
208600000X
Surgery Physician
036.174543
IL
208600000X
Surgery Physician
58038
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000714037
ANTHEM BC BS
IN
01
—
01067215
INDIANA STATE LICENSE
IN
01
—
036.174543
ILLINOIS STATE LICENSE
IL
05
—
201027550
—
IN
01
—
58038
KENTUCKY STATE LICENSE
KY
05
—
7100170000
—
KY
Enumeration date
05/21/2008
Last updated
04/07/2025
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