Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 01059431A | IN |
Y | 207QS0010X | Family Doctor - Sports Medicine | 01059431A | IN |
NPI | 1174554869 |
---|---|
Provider Name | Dr. Joel Matthew Kary |
First Address | Indianapolis, IN 46260-1316 |
Second Address | Carmel, IN 46032-3605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 17/04/2019 |