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NPI Code Detail

MEDICARE: DR. AMY JOLENE METHENY MD

MEDICARE:  DR. AMY JOLENE METHENY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician01038530AIN

General Provider Information

NPI Number : 1609035815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY JOLENE METHENY MD
Provider Business Mailing Address
First Line : 6263 SHELLY WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-9776
Country : US
Telephone Number : 317-781-1424
Fax Number : 317-781-1424
Provider Business Practice Location Address
First Line : 6263 SHELLY WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-9776
Country : US
Telephone Number : 317-781-1424
Fax Number : 317-781-1424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 06/03/2008

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Directions to “ DR. AMY JOLENE METHENY MD” Practice Location

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