Individual
DENIN KEVIN PLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7345 WOODLAND DR, INDIANAPOLIS, IN 46278-1737
(317) 388-0800
(317) 388-0805
Mailing address
7345 WOODLAND DR, INDIANAPOLIS, IN 46278-1737
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
709373
NY
164W00000X
Licensed Practical Nurse
321705
NY
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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