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1043590102
KENNARD B SPROUL
INDIANAPOLIS, IN
NPI
1043590102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: IN 01029027A)
Enumeration Date
2011-08-22
Last Update Date
2011-08-22
Business Address
Dr. KENNARD B SPROUL M.D.
1481 W 10TH ST VA MEDICAL CENTER
INDIANAPOLIS, IN 46202-2803
Phone number: 317-554-0000
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Mailing Address
Dr. KENNARD B SPROUL M.D.
7805 N CRESTWOOD LN
BRAZIL, IN 47834-8279
Phone number: 812-841-9184
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