| D &L K Inc | |
|
1316 N Lexington Rd Marion IN 46952-9342 | |
| (765) 834-4057 | |
| Not Available |
| Full Name | D &L K Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1316 N Lexington Rd, Marion, Indiana |
| Authorized Official Name and Position | John W Kennedy (OWNER) |
| Authorized Official Contact | 7658344057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D &L K Inc 1316 N Lexington Rd Marion IN 46952-9342 Ph: (765) 834-4057 | D &L K Inc 1316 N Lexington Rd Marion IN 46952-9342 Ph: (765) 834-4057 |
| NPI Number | 1932383718 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932383718 | NPI | - | NPPES |
| 200884550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01022780 (Indiana) | Primary |
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