Individual
MEGHAN KYLE FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 E 86TH ST STE 4, INDIANAPOLIS, IN 46240
(317) 975-3441
Mailing address
150 W WASHINGTON ST, SHELBYVILLE, IN 46176-1236
(317) 398-5275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000713740
ANTHEM BC/BS
IN
Enumeration date
11/22/2010
Last updated
03/26/2019
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