Kendrick Regional Center for Colon and Rectal Care

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

01066495A Issued in IN

Legal business name

KENDRICK REGIONAL CENTER FOR COLON AND RECTAL CARE

Doing business as

Kendrick Regional Center

Practice address

1215 Hadley Rd
Suite 201
Mooresville, IN 46158-2905

Phone

(317) 834-9618

Fax

(317) 831-9467

NPI assigned

May 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Crump

Title

Fellowship Coordinator

Phone

(317) 834-9618

Specialties & licenses 1

Addresses

Other names 1

• Kendrick Regional Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1912132085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582905",
            "telephone_number": "317-834-9618",
            "fax_number": "317-831-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582905",
            "telephone_number": "317-834-9618",
            "fax_number": "317-831-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK REGIONAL CENTER FOR COLON AND RECTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "FELLOWSHIP COORDINATOR",
        "authorized_official_telephone_number": "317-834-9618"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01066495A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendrick Regional Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antonios Spiros Kantzavelos
• Amanda Kazlauskas
• Adrian Lamont Kearney Jr., PHARMD
• Amber Lee Kelley, PA-C
• Kendrick Regional Center for Colon and Rectal Care
• Gregory J Kerr, MD
• Amy Jo King
• Deborah Kinnamon
• Kirkling Chiropractic Offices PC
• Kevin Corbin Kirkling, DC

• Colon & Rectal Surgery Physician in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Colon & Rectal Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.