Kyle Wilebski
General Practice Physician
1130 W Michigan St # Fh204
Indianapolis
, Indiana 46202-5209
Kyle Wilebski
General Practice Physician
1130 W Michigan St # Fh204
Indianapolis
, Indiana 46202-5209
(701) 520-8049
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Kyle Wilebski
- 2813 Hayward Ave Apt D
- Brownsburg, IN
- Zip : 46112-0169
- Phone : (701) 520-8049
Second Address
- Kyle Wilebski
- 1130 W Michigan St # Fh204
- Indianapolis, IN
- Zip : 46202-5209
- Phone : (317) 274-0076
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208D00000X | General Practice Physician | RL 13722 | ND |
National Provider Identifier
| NPI | 1003298316 |
|---|---|
| Provider Name | Kyle Wilebski |
| First Address | Brownsburg, IN 46112-0169 |
| Second Address | Indianapolis, IN 46202-5209 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2015 |
| Last Update Date | 10/06/2016 |
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.