Mather, Kieren J

Mather, Kieren J is an individual health care provider with primary practice located at 975 W Walnut St Ib 424, Indianapolis IN 46202-5181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mather, Kieren J can be contacted via phone (317) 944-8660.

Contact Information

Primary practice address
975 W Walnut St Ib 424 Indianapolis IN 46202-5181
Phone: (317) 944-8660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01051373 Indiana
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01051373A Indiana

Profile Details

NPI number 1528022340
LBN Legal business name Mather, Kieren J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 30th, 2020 - about 5 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 1528022340 NPPES
Indiana MEDICAID 200318510

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