Kyrouac, Douglas

Kyrouac, Douglas is an individual health care provider with primary practice located at 11725 Illinois St Ste 355 , Carmel IN 46032-3009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kyrouac, Douglas can be contacted via phone (317) 688-5100.

Contact Information

Primary practice address
11725 Illinois St Ste 355 Carmel IN 46032-3009
Phone: (317) 688-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01099288A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018017083 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01099288A Indiana

Profile Details

NPI number 1184119893
LBN Legal business name Kyrouac, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Aug 4th, 2026 - about 2 months 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 1184119893 NPPES
Indiana MEDICAID 300131852

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