Individual
MR. KEVIN WAYNE SCHREIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
(765) 348-0300
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059405A
IN
207Q00000X
Family Medicine Physician
2006008766
MO
207V00000X
Obstetrics & Gynecology Physician
01059405A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200223640
—
IN
Enumeration date
04/25/2006
Last updated
03/09/2021
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