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1558337832
KENNETH J BETHARDS
BLOOMINGTON, IN
NPI
1558337832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN APN 710056636A)
Enumeration Date
2006-02-27
Last Update Date
2023-01-10
Business Address
MR. KENNETH J BETHARDS FNP
2701 E 3RD ST
BLOOMINGTON, IN 47401-5433
Phone number: 270-748-2786
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Mailing Address
MR. KENNETH J BETHARDS FNP
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 812-348-0300
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