Individual
CAMERON MITCHELL KNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
Mailing address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000168A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103832888
ANTHEM PTAN
IN
Enumeration date
02/05/2024
Last updated
12/11/2024
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