Individual
KENNETH H HURDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8702 E 86TH ST, INDIANAPOLIS, IN 46256-1340
(317) 849-4615
(317) 849-9758
Mailing address
8702 E 86TH ST, INDIANAPOLIS, IN 46256-1340
(317) 849-4615
(317) 849-9758
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27037482A
IN
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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