Individual
KARL D SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 ILLINOIS ST STE 520, CARMEL, IN 46032-3009
(317) 630-7889
(317) 968-1098
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01068208A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200990360
—
IN
01
—
P01052538
RAILROAD MEDICARE
IN
Enumeration date
06/05/2008
Last updated
03/11/2025
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