KENNETH GREEN DEXTER

INDIANAPOLIS, IN
NPI1700347739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: KY  05307)
Additional Taxonomies208M00000X Hospitalist
(Licence: KY  05307)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-31
Last Update Date2024-05-15
Business Address
KENNETH GREEN DEXTER DO
8414 NAAB RD STE 100
INDIANAPOLIS, IN 46260-1972
Phone number: 317-338-7510
Mailing Address
KENNETH GREEN DEXTER DO
8414 NAAB RD STE 100
INDIANAPOLIS, IN 46260-1972
Phone number: 317-338-7510
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