Individual
MR. KENNETH BOYD BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 524-3311
(812) 524-3310
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(181) 252-2234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001207A
IN
Other
Enumeration date
08/13/2008
Last updated
03/12/2019
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