Individual
JOSHUA CHRISTOPHER KAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(347) 944-1952
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01085698A
IN
207P00000X
Emergency Medicine Physician
LP03931
RI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01085698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001542229
ANTHEM PTAN
IN
01
—
000001542248
ANTHEM PTAN
IN
01
—
000001653148
ANTHEM PTAN
IN
01
—
1093244386
ANTHEM PTAN
IN
05
—
300050216
—
IN
Enumeration date
06/08/2017
Last updated
03/12/2025
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