Individual
GERALD KEVIN GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 COLUMBUS BLVD, KOKOMO, IN 46901-6455
(765) 453-1254
(765) 864-8732
Mailing address
6626E 75TH ST 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01047859
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200249990
—
IN
01
—
P01824440
RAILROAD
IN
Enumeration date
06/23/2005
Last updated
11/27/2023
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