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Individual

KENNETH J RAMSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
16000 W. 101ST AVE, DYER, IN 46311-3046
(219) 365-6333
(877) 258-9910
Mailing address
PO BOX 1076, CROWN POINT, IN 46308-1076
(219) 662-3931
(219) 663-6359

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
02000963
IN
207RC0000X
Cardiovascular Disease Physician
Primary
02000963A
IN
207RC0000X
Cardiovascular Disease Physician
036063369
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000095314
ANTHEM PIN
IN
01
060030167
RR MEDICARE
05
100338360
IN
Enumeration date
12/07/2005
Last updated
05/14/2026
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