Dr. Kennard B Sproul
Family Doctor - Adult Medicine
1481 W 10th St Va Medical Center
Indianapolis
, Indiana 46202-2803
Dr. Kennard B Sproul
Family Doctor - Adult Medicine
1481 W 10th St Va Medical Center
Indianapolis
, Indiana 46202-2803
(812) 841-9184
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Kennard B Sproul
- 7805 N Crestwood Ln
- Brazil, IN
- Zip : 47834-8279
- Phone : (812) 841-9184
Second Address
- Dr. Kennard B Sproul
- 1481 W 10th St Va Medical Center
- Indianapolis, IN
- Zip : 46202-2803
- Phone : (317) 554-0000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 01029027A | IN |
National Provider Identifier
| NPI | 1043590102 |
|---|---|
| Provider Name | Dr. Kennard B Sproul |
| First Address | Brazil, IN 47834-8279 |
| Second Address | Indianapolis, IN 46202-2803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2011 |
| Last Update Date | 22/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.