KENNETH BECKLEY M.D. NPI 1114912987

NPI Information

NPI: 1114912987
Provider Name: KENNETH BECKLEY, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
8330 NAAB RD
SUITE 234
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 875-0084
Get Directions

Kenneth Beckley, M.D. is a nephrology internal medicine in Indianapolis, IN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Kenneth Beckley, M.D. NPI is 1114912987. 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:

8330 NAAB RD
SUITE 234
INDIANAPOLIS, IN
ZIP 46260-925
Phone: (317) 875-0084
Fax: (317) 876-5580

The enumeration date for this NPI number is 9/16/2005 and was last updated on 7/22/2008.

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	207RN0300X	Internal Medicine	Nephrology	01028542A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	796270D	MEDICARE PIN	INDIANA
2	390002689	MEDICARE PIN	INDIANA
3	100368000	MEDICAID	INDIANA
4	D95606	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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