Individual
PATRICK JAMES FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12188A N MERIDIAN ST STE 365, CARMEL, IN 46032-4407
(317) 621-2780
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02006551A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02006551A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039893
—
IN
Enumeration date
06/16/2020
Last updated
08/19/2024
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