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Individual

STEVEN L KINSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 373-3025
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 375-3000
(812) 375-3477

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01037447A
IN
208M00000X
Hospitalist Physician
Primary
01037447A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000211371
ANTHEM
01
000000984124
ANTHEM PIN
IN
01
050047P
SIHO
05
100052670A
IN
01
110191510
MEDICARE RAILROAD
IN
01
1790837789
GROUP NPI
IN
Enumeration date
06/27/2006
Last updated
09/04/2018
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