Individual
KERRY W. MAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-0702
Mailing address
PO BOX 6005 DEPT 196, INDIANAPOLIS, IN 46206-6005
(317) 614-9817
(317) 614-9655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01033285A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228850A
—
IN
Enumeration date
07/26/2006
Last updated
03/05/2020
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