Active NPI
D &L K Inc
- Family Medicine Physician
- Marion, IN
National Provider Identifier
1932383718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01022780
- Legal business name
- D &L K INC
- Practice address
- 1316 N Lexington Rd
Marion, IN 46952-9342 - Phone
- (765) 834-4057
- NPI assigned
- Dec 28, 2007
- Last updated
- Dec 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W Kennedy, MD
- Title
- Owner
- Phone
- (765) 834-4057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01022780 | IN | Primary |
Addresses
Primary practice location
1316 N Lexington Rd
Marion, IN 46952-9342
Mailing address
1316 N Lexington Rd
Marion, IN 46952-9342
Phone (765) 834-4057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200884550 | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Gas City, IN
- NPI 1568443810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419811200000",
"number": "1932383718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 N LEXINGTON RD",
"city": "MARION",
"state": "IN",
"postal_code": "469529342",
"telephone_number": "765-834-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 N LEXINGTON RD",
"city": "MARION",
"state": "IN",
"postal_code": "469529342",
"telephone_number": "765-834-4057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D &L K INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2014-12-29",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-834-4057",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01022780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200884550",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.