Individual
KEVIN JOSEPH LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 FIRST AVE. N.E., CARMEL, IN 46032
(317) 575-9808
Mailing address
621 FIRST AVE. N.E., CARMEL, IN 46032
(317) 509-0009
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01023796A
IN
Other
Enumeration date
08/05/2013
Last updated
07/28/2022
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