Individual
DR. KEVIN PATRICK RECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KEVIN RECKLEY O.D.
Contact information
Practice address
5611 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3750
(317) 781-9090
(317) 782-3937
Mailing address
5611 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3750
(317) 781-9090
(317) 782-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002071B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100277610A
—
IN
Enumeration date
01/23/2006
Last updated
02/09/2011
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