Individual
MR. KENNETH J BETHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2701 E 3RD ST, BLOOMINGTON, IN 47401-5433
(270) 748-2786
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(812) 348-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 710056636A
IN
Other
Enumeration date
02/27/2006
Last updated
01/10/2023
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