Individual
KEVIN D NEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7805
Mailing address
1190 MACLAREN CT, FRANKLIN, IN 46131-6955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038911A
IN
208M00000X
Hospitalist Physician
01038911A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295078
ANTHEM PROVIDER NUMBER
—
05
—
1000335870
—
IN
01
—
P01824518
RR PTAN
IN
Enumeration date
06/17/2006
Last updated
09/24/2019
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