Kenneth Charles Dreyer Jr. (NPI# 1326366774, PAC ID# 9830356906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1326366774 |
| PAC ID by PECOS | 9830356906 |
| Professional Enrollment ID | I20120201000004 |
| Full Name | Kenneth Charles Dreyer Jr. |
| Address |
89 Cardinal Rd Fillmore IN 46128-9258 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 89 Cardinal Rd, Fillmore, IN 46128-9258 |
| Street Address |
89 CARDINAL RD |
| City | FILLMORE |
| State | IN |
| Zip | 46128-9258 |
| City | FILLMORE |
| Zip Code | 46128 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FILLMORE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.