Individual
KURTIS HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7855 S EMERSON AVE, SUITE H, INDIANAPOLIS, IN 46237-8668
(317) 300-0370
(317) 300-0422
Mailing address
7855 S EMERSON AVE, SUITE H, INDIANAPOLIS, IN 46237-8668
(317) 300-0370
(317) 300-0422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037287
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490194
BLUE CROSS
—
01
—
P00367017
RAILROAD MEDICARE
—
Enumeration date
07/18/2006
Last updated
01/10/2013
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