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General NPI Number Information
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NPI Number | 1962799940
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Entity Type | Individual
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Provider Name | JOHN THOMAS KIHLKEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 8051 S EMERSON AVE STE 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8630
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Country | US
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Telephone | 317-851-2663
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Fax | 317-851-2664
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Provider Business Mailing Address
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Address Line | PO BOX 781076
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City | DETROIT
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State | MI
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Zip | 48278-1076
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Country | US
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Telephone | 317-528-4800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01074062A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 01074062A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01074062A
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License Number State | IN
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