Byerly, Kenneth

Byerly, Kenneth is an individual health care provider with primary practice located at 3630 Guion Rd , Indianapolis IN 46222-1616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Emergency Medical Service Providers / Emergency Medical Technician, Paramedic. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Byerly, Kenneth can be contacted via phone (317) 920-7195.

Contact Information

Primary practice address
3630 Guion Rd Indianapolis IN 46222-1616
Phone: (317) 920-7195
Fax: (317) 920-7551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02001355 Indiana
Emergency Medical Service Providers / Emergency Medical Technician, Paramedic 146L00000X 02001355 Indiana

Profile Details

NPI number 1023016607
LBN Legal business name Byerly, Kenneth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Aug 7th, 2024 - about 2 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 1023016607 NPPES
Indiana Other 000000191757 ANTHEM BLUE CROSS PROV. #
Indiana MEDICAID 2867358 ANTHEM BLUE CROSS PROV. #
Indiana MEDICAID 100270690A ANTHEM BLUE CROSS PROV. #
Indiana Other 02001355 ANTHEM BLUE CROSS PROV. #
Indiana MEDICAID 100386410 ANTHEM BLUE CROSS PROV. #

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