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Individual

SCOTT KIEFER HASTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7333 ROCKVILLE RD, INDIANAPOLIS, IN 46214-3069
(317) 273-4357
Mailing address
7333 ROCKVILLE RD, INDIANAPOLIS, IN 46214-3069
(317) 273-4357

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001110
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100176910A
IN
Enumeration date
02/11/2007
Last updated
09/12/2011
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