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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114912987 | NPPES |
| Indiana | MEDICAID | 100368000 |
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