Individual
KENNETH L. RENKENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Mailing address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01037463A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011598
M-PLAN PROVIDER NUMBER
IN
01
—
000000214072
ANTHEM PROVIDER NUMBER
IN
01
—
0569464
CIGNA
IN
01
—
140007814
MEDICARE RAILROAD
IN
01
—
366735000
US DEPT. OF LABOR
IN
Enumeration date
09/13/2006
Last updated
05/31/2016
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