Healthcare Provider Details

I. General information

NPI: 1811173974
Provider Name (Legal Business Name): THE INDIANA ORTHOPAEDIC CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14540 PRAIRIE LAKES BLVD
NOBLESVILLE IN
46060-4326
US

IV. Provider business mailing address

7930 N SHADELAND AVE
INDIANAPOLIS IN
46250-2041
US

V. Phone/Fax

Practice location:
  • Phone: 317-588-2663
  • Fax: 317-588-2727
Mailing address:
  • Phone: 317-588-2663
  • Fax: 317-588-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DOUGLAS AUGUST KUHN
Title or Position: PRESIDENT
Credential: MD
Phone: 317-588-2663