Individual
ROBERT ZENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3118 S LAFOUNTAIN ST, KOKOMO, IN 46902-3710
(765) 864-4160
(765) 400-4467
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 343-6562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01040529
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100377590
—
IN
01
—
P01271014
RR MEDICARE
IN
Enumeration date
09/15/2005
Last updated
01/24/2023
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