Individual
KEVIN JOSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
(317) 274-4966
Mailing address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
(317) 274-5771
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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