Individual
KEVIN MACHINSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2612
Mailing address
8612 MAPLE VIEW DR, INDIANAPOLIS, IN 46217-4834
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001864A
IN
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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