Lader Kenneth | |
461 Town Center St N Mooresville IN 46158-2316 | |
(317) 834-9858 | |
(317) 834-3290 |
Full Name | Lader Kenneth |
---|---|
Speciality | Internal Medicine |
Location | 461 Town Center St N, Mooresville, Indiana |
Authorized Official Name and Position | Jeffery Kirkham (CFO) |
Authorized Official Contact | 3173555822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lader Kenneth 461 Town Center St N Mooresville IN 46158-2316 Ph: (317) 834-9858 | Lader Kenneth 461 Town Center St N Mooresville IN 46158-2316 Ph: (317) 834-9858 |
NPI Number | 1760408348 |
---|---|
Provider Enumeration Date | 07/15/2006 |
Last Update Date | 11/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760408348 | NPI | - | NPPES |
200996370A | Medicaid | IN | |
DB5245 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
News Archive
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