Individual
KYLE L CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 BARNHILL DR, EMERSON HALL 203, INDIANAPOLIS, IN 46202-5112
(317) 274-4966
(317) 274-8769
Mailing address
545 BARNHILL DR, EMERSON HALL 203, INDIANAPOLIS, IN 46202-5112
(317) 274-4966
(317) 274-8769
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01090764A
IN
2086S0102X
Surgical Critical Care Physician
Primary
01090764A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018342A
IN
Other
Enumeration date
06/10/2015
Last updated
07/28/2023
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