Individual
KACEY VOGT KRONENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, RM DG412, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 963-5492
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-2514
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01074234A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017019A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201169400
—
IN
Enumeration date
05/25/2013
Last updated
07/15/2016
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