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NPI Code Detail

MEDICARE: KYLE AARON DEMPSEY HAD

MEDICARE: KYLE AARON DEMPSEY HAD
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
1237700000XHearing Instrument Specialist17001485AIN

General Provider Information

NPI Number : 1215453303
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE AARON DEMPSEY HAD
Provider Business Mailing Address
First Line : 8202 CLEARVISTA PKWY STE 3A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1429
Country : US
Telephone Number : 317-578-2300
Fax Number : 317-813-1445
Provider Business Practice Location Address
First Line : 8202 CLEARVISTA PKWY STE 3A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1429
Country : US
Telephone Number : 317-578-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 08/21/2017

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Directions to “ KYLE AARON DEMPSEY HAD” Practice Location

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