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Individual

DR. KENNETH J BOCHENEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8060
(173) 614-9655
Mailing address
PO BOX 6069-DEPT 87, INDIANAPOLIS, IN 46206-6069
(866) 282-7905
(800) 731-0751

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01035306
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100232250
IN
Enumeration date
09/14/2006
Last updated
08/12/2019
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