Individual provider · Type 1 NPI

Kennard B. Sproul, MD

Adult Medicine Physician · Indianapolis, IN

NPI number 1043590102 Active

Practice location

1481 W 10th St, Va Medical Center
Indianapolis, IN 46202-2803

Call (317) 554-0000 Map

Mailing address

7805 N Crestwood Ln
Brazil, IN 47834-8279

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X01029027A (IN)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1043590102

Kennard B. Sproul, MD's National Provider Identifier is 1043590102, issued on Aug 22, 2011. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 22, 2011.