Individual
DR. KENNETH LLOYD HEITMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
8101 SHELBY ST, INDIANAPOLIS, IN 46227-6278
(317) 882-5088
(317) 889-4734
Mailing address
8101 SHELBY ST, INDIANAPOLIS, IN 46227-6278
(317) 882-5088
(317) 889-4734
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12008056
IN
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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