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Individual

KYLE JEREMY GEHRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-9312

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005434A
IN
207Q00000X
Family Medicine Physician
DO1570
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300015480
IN
01
P02198172
MEDICARE RR
IN
Enumeration date
04/28/2011
Last updated
11/27/2023
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