Organization
ICONIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE HOWARD BUTLER (CEO/PRESIDENT)
(317) 400-1949
Entity
Organization
Contact information
Practice address
1111 E 54TH ST STE 118, INDIANAPOLIS, IN 46220-3580
(317) 744-0039
(317) 449-5960
Mailing address
1111 E 54TH ST STE 118, INDIANAPOLIS, IN 46220-3580
(317) 744-0039
(317) 449-5960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
09/13/2021
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