Individual
KENNETH GREEN DEXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8414 NAAB RD STE 100, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8414 NAAB RD STE 100, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05307
KY
208M00000X
Hospitalist Physician
05307
KY
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/31/2019
Last updated
05/15/2024
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