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NPI Code Detail

MEDICARE: MR. KEVIN WAYNE SCHREIBER M.D.

MEDICARE: MR. KEVIN WAYNE SCHREIBER M.D.
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
1207V00000XObstetrics & Gynecology Physician01059405AIN
2207Q00000XFamily Medicine Physician01059405AIN
3207Q00000XFamily Medicine Physician2006008766MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427014976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN WAYNE SCHREIBER M.D.
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number : 317-962-3834
Fax Number :
Provider Business Practice Location Address
First Line : 410 PILGRIM BLVD
Second Line :
City : HARTFORD CITY
State : IN
Zip : 47348-1382
Country : US
Telephone Number : 765-348-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 03/09/2021

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