Individual
KEVIN KALBFELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
(317) 621-7884
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-284285
IL
367500000X
Certified Registered Nurse Anesthetist
209-004259
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28121156A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001072483
ANTHEM PROVIDER NUMBER
IN
05
—
200150350
—
IN
01
—
P01723960
RR MEDICARE
IN
Enumeration date
01/22/2007
Last updated
11/27/2023
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