Beckley, Kenneth

Beckley, Kenneth is an individual health care provider with primary practice located at 8330 Naab Rd Suite 234, Indianapolis IN 46260-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Beckley, Kenneth can be contacted via phone (317) 875-0084.

Contact Information

Primary practice address
8330 Naab Rd Suite 234 Indianapolis IN 46260-5925
Phone: (317) 875-0084
Fax: (317) 876-5580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01028542A Indiana

Profile Details

NPI number 1114912987
LBN Legal business name Beckley, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114912987 NPPES
Indiana MEDICAID 100368000

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