Individual
KEVIN C BAX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD, STE 715, INDIANAPOLIS, IN 46260-2074
(317) 338-9450
(317) 338-9567
Mailing address
8402 HARCOURT RD, STE 715, INDIANAPOLIS, IN 46260-2074
(317) 338-9450
(317) 338-9567
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
01059990A
IN
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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