Individual
AMY J KAISSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8424 NAAB RD STE 2A, INDIANAPOLIS, IN 46260-1966
(317) 415-6300
Mailing address
8424 NAAB RD STE 2A, INDIANAPOLIS, IN 46260-1966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01045607A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200148390
—
IN
Enumeration date
03/10/2006
Last updated
07/06/2022
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