Organization
RICHARD KURTZ MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIDEEN O YEKINNI M.D. (CEO/PRESIDENT)
(317) 926-9117
Entity
Organization
Contact information
Practice address
3351 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46208-4674
(317) 926-9117
(317) 923-5729
Mailing address
3351 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46208-4674
(317) 926-9117
(317) 923-5729
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
01041627A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124360
—
IN
Enumeration date
01/26/2009
Last updated
02/02/2009
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