Individual
KEVIN DALE HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11725 ILLINOIS ST, CARMEL, IN 46032-3008
(317) 217-2500
(317) 217-2515
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02005766A
IN
207V00000X
Obstetrics & Gynecology Physician
5101013347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-5-41-1478-4
BCBSM PIN
MI
05
—
1942249107
—
MI
05
—
300031437
—
IN
01
—
MI1763040
MEDICARE
MI
01
—
N42130031
MEDICARE PTAN
MI
Enumeration date
06/05/2006
Last updated
08/02/2022
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