Individual
ABDULRAZAK KEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1339 N CHERRY STREET, RUSHVILLE, IN 46173-1116
(765) 932-7000
(765) 932-7001
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-4111
(765) 932-7505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01052945A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373848
ANTHEM
IN
01
—
01052945
LICENSE
IN
05
—
200319580
—
IN
Enumeration date
03/22/2006
Last updated
02/17/2025
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