Individual
KEVIN M SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
(317) 583-7600
Mailing address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01064638A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947160
—
IN
Enumeration date
05/27/2008
Last updated
08/16/2022
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