Individual
KYLE ANDREW FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 RONALD REAGAN PKWY, AVON, IN 46123-6910
(317) 944-8660
(317) 274-7792
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01074018A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01074018A
IN
207RI0011X
Interventional Cardiology Physician
01074018A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001175549
ANTHEM PTAN
IN
01
—
000001241907
ANTHEM PTAN
IN
05
—
300015483
—
IN
Enumeration date
05/24/2011
Last updated
09/16/2025
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