Individual
ROBERT GERARD KENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(317) 838-4751
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01080292A
IN
207P00000X
Emergency Medicine Physician
2019015004
MO
207P00000X
Emergency Medicine Physician
35123303
OH
207P00000X
Emergency Medicine Physician
36106657
IL
207P00000X
Emergency Medicine Physician
50129
KY
208600000X
Surgery Physician
36106657
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200834810
—
IN
01
—
264430G18
MEDICARE PTAN
IN
Enumeration date
01/26/2006
Last updated
08/08/2024
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