Individual
KEVIN M SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 334-8958
(812) 334-8881
Mailing address
908 N WALNUT ST, BLOOMINGTON, IN 47404-3525
(812) 334-8958
(812) 334-8881
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01049800A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200480020A
—
IN
Enumeration date
12/18/2006
Last updated
11/04/2020
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