BKRD, Inc
Organization Active NPI Critical Care Medicine (Internal Medicine) Physician · Michigan City, IN
NPI 1649640202 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1649640202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 01065198A (IN)
- Legal business name
- BKRD, INC
- Practice address
- 302 Garden TRL
Michigan City, IN 46360-2710 - Phone
- (219) 561-6303
- NPI assigned
- Sep 25, 2015
- Organization subpart
- No
Authorized official
- Name
- Brandi Kathryn Ross-Douglas, M.D.
- Title
- President
- Phone
- (219) 561-6303
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | 01065198A | IN | Yes |
Addresses
Primary practice location
302 Garden TRL
Michigan City, IN 46360-2710
Mailing address
302 Garden TRL
Michigan City, IN 46360-2710
Phone (219) 561-6303
Other providers in Michigan City, IN
- Kendra Bickel
- William C Biehl III
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- Bikashagarwal Inc.
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- Billie-Ann Black
- Elizabeth Black
- Karmyn Boller
- Chad A Booth
- Marc Alan Booth
All providers in Michigan City, IN · Critical Care Medicine (Internal Medicine) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.