| NPI | 1760408348 |
|---|---|
| Doing Business As | LADER KENNETH |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-11-17 |