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Individual

DAVID KILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12164 STEEPLEVIEW CT, FISHERS, IN 46037-8671
(317) 000-0000
Mailing address
12164 STEEPLEVIEW CT, FISHERS, IN 46037-8671

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01036140A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000313315
ANTHEM
IN
05
100120530
IN
Enumeration date
06/08/2006
Last updated
11/01/2023
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