Individual
DR. TERRY KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8243
(765) 646-8655
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01071287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100467600
—
IN
01
—
930127219
MEDICARE RR
IN
Enumeration date
06/16/2005
Last updated
07/06/2012
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