MR. MICHAEL FRANCIS KENRICK


Address: 1421 Cedar Bluff Road, Bloomington, IN 47403-9687
Phone: 8128241642

MR. MICHAEL FRANCIS KENRICK (NPI# 1437372067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437372067
Entity Type Individual
Full Name MR. MICHAEL FRANCIS KENRICK
Credential MD
Practice Address 1421 Cedar Bluff Road
Bloomington
IN 47403-9687
Practice Telephone 8128241642
Mailing Telephone 8128241642
Enumeration Date 2007-04-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 01028624A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 1421 CEDAR BLUFF ROAD
City BLOOMINGTON
State IN
Zip Code 47403-9687

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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