Individual
KYLE DAVID ROSEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7307
Mailing address
7249 ARBUCKLE CMNS APT 103, BROWNSBURG, IN 46112-1478
(317) 657-4891
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01085375A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
04/27/2021
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