Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01081900A | IN |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 01081900A | IN |
NPI | 1134546161 |
---|---|
Provider Name | Kevin A Sonn |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Fishers, IN 46037-9440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 17/11/2020 |