Individual
KEVIN C MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1185 W CARMEL DR STE D1A, CARMEL, IN 46032-8708
(317) 669-2248
Mailing address
1185 W CARMEL DR STE D1A, CARMEL, IN 46032-8708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042595A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094780
—
IN
Enumeration date
03/14/2006
Last updated
07/21/2022
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