Individual
MR. KENNETH CHARLES DREYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
89 CARDINAL RD, FILLMORE, IN 46128-9258
(317) 524-8863
(765) 246-4088
Mailing address
89 CARDINAL RD, FILLMORE, IN 46128-9258
(765) 246-6245
(765) 246-6245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006979A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200351820
—
IN
Enumeration date
05/10/2010
Last updated
05/02/2014
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