Individual
DR. KEVIN JOHN LUKSUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 FOREST RIDGE PKWY, SUITE #310, NEW CASTLE, IN 47362-2943
(765) 599-3400
(765) 599-3500
Mailing address
PO BOX 652, NEW CASTLE, IN 47362-0652
(765) 599-3400
(765) 599-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038635A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100196570
—
IN
01
—
DC3600
RAILROAD GROUP
IN
01
—
P00714996
RAILROAD INDIVIDUAL
IN
01
—
P01438440
RAIL ROAD MEDICARE
IN
Enumeration date
06/29/2006
Last updated
05/15/2015
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