Individual
DR. KENT A VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9011 N MERIDIAN ST, SUITE 110, INDIANAPOLIS, IN 46260-5378
(317) 581-8888
(317) 705-7178
Mailing address
9011 N MERIDIAN ST, SUITE 110, INDIANAPOLIS, IN 46260-5378
(317) 581-8888
(317) 705-7178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041231
IN
Other
Enumeration date
08/23/2005
Last updated
07/08/2007
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