Individual
DR. KENYA EVERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2855 N KEYSTONE AVE STE 100, INDIANAPOLIS, IN 46218-2790
(317) 957-2300
(317) 957-2320
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050551A
IN
207Q00000X
Family Medicine Physician
036107482
IL
207Q00000X
Family Medicine Physician
4301080824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200291750
—
IN
Enumeration date
09/12/2007
Last updated
02/29/2024
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