Peck, Kathryn Mary

Peck, Kathryn Mary is an individual health care provider with primary practice located at 8501 Harcourt Rd , Indianapolis IN 46260-2046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Peck, Kathryn Mary can be contacted via phone (317) 875-9105.

Contact Information

Primary practice address
8501 Harcourt Rd Indianapolis IN 46260-2046
Phone: (317) 875-9105
Fax: (317) 808-8802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01072971A Indiana
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 01072971 Indiana

Profile Details

NPI number 1457519654
LBN Legal business name Peck, Kathryn Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2008
Last updated Apr 1st, 2024 - about 7 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 1457519654 NPPES
Indiana MEDICAID 201186240
Indiana Other 062110012

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