Individual
RICHARD KELLY CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 MEDICAL ARTS BLVD, SUITE 203, ANDERSON, IN 46011-3459
(765) 298-5280
(765) 298-5279
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
(765) 298-5706
(765) 298-5279
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01023840A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004977712
ANTHEM
IN
05
—
200843690
—
IN
01
—
P00391678
RR MEDICARE
IN
Enumeration date
06/11/2005
Last updated
03/05/2015
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