Individual
KEXIA VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5908 E STOP 11 RD, INDIANAPOLIS, IN 46237-8683
(317) 497-6800
(317) 497-6801
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005573A
IN
208D00000X
General Practice Physician
02005573A
IN
Other
Enumeration date
04/27/2017
Last updated
11/27/2023
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