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NPI Code Detail

MEDICARE: GREGORY KENT HEUMANN MD

MEDICARE: GREGORY KENT HEUMANN 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
1207R00000XInternal Medicine Physician01033775IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1422310POTHERINSIHO
2000000094052OTHERINANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346213790
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY KENT HEUMANN MD
Provider Business Mailing Address
First Line : 301 HENRY ST
Second Line :
City : NORTH VERNON
State : IN
Zip : 47265-1030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 HENRY ST
Second Line :
City : NORTH VERNON
State : IN
Zip : 47265-1030
Country : US
Telephone Number : 812-352-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 06/29/2022

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