Provider Information for 1043546062
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SCOTT KAHLER
Sex: Male
NPI: 1043546062
Last Updated: 2011-09-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1043546062 | ||||||||
| Enumeration Date | 2009-10-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3401 E RAYMOND ST INDIANAPOLIS, IN 46203-4744 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 2340 E 10TH ST INDIANAPOLIS, IN 46201-2008 United States Phone: 317-633-7360 | Fax: | ||||||||
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