Individual
MR. DANIEL SETH LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3504 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-3600
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
(317) 776-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073678A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01073678A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00344289
RAILROAD MEDICARE
IN
Enumeration date
03/21/2011
Last updated
06/14/2023
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