DR. KENNARD B SPROUL M.D. NPI 1043590102

NPI Information

NPI: 1043590102
Provider Name: DR. KENNARD B SPROUL, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
1481 W 10TH ST
VA MEDICAL CENTER
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 554-0000
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DR. Kennard B Sproul, M.D. is an adult medicine family medicine in Indianapolis, IN. The provider is definition to come. DR. Kennard B Sproul, M.D. NPI is 1043590102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1481 W 10TH ST
VA MEDICAL CENTER
INDIANAPOLIS, IN
ZIP 46202-803
Phone: (317) 554-0000

The enumeration date for this NPI number is 8/22/2011 and was last updated on 8/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	01029027A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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