Individual
KENNETH J WEDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 WOODS RD, RICHMOND, IN 47374-9409
(765) 914-6711
Mailing address
1500 WOODS RD, RICHMOND, IN 47374-9409
(765) 914-6711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01042370
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030059
ANTHEM
—
05
—
100367800
—
IN
05
—
2048073
—
OH
Enumeration date
09/15/2006
Last updated
03/17/2021
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