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Individual

DR. KEVIN M STUTEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-7921
Mailing address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01072553A
IN
208000000X
Pediatrics Physician
095624
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01072553A
IN

Other

Enumeration date
05/01/2007
Last updated
05/04/2023
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