Individual
KEVIN HENDERZAHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7120 CLEARVISTA DR STE 2000, INDIANAPOLIS, IN 46256-1621
(317) 621-7120
(317) 621-7119
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01060556A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374504
ANTHEM
IN
05
—
200524230
—
IN
Enumeration date
05/31/2006
Last updated
11/27/2023
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