Individual
DR. KEVIN B. GEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 278-0118
(317) 274-4444
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01052849
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331600
—
IN
Enumeration date
04/25/2006
Last updated
01/20/2021
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