Kenneth Byerly in Indianapolis - Emergency Medical Technician, Paramedic
Kenneth Byerly - NPI 1023016607
Kenneth Byerly is a Emergency Medical Technician, Paramedic in Indianapolis, Indiana. Kenneth Byerly practices all healthcare services and medical treatments related to Emergency Medical Technician, Paramedic. The NPI Number for Kenneth Byerly is 1023016607. The last update date is 2008-08-14.
Kenneth Byerly's current location address is 3630 Guion Rd, Indianapolis, Indiana. You can contact this provider via phone number 3179207195 and fax number 3179207551. The mailing address for Kenneth Byerly is 3630 Guion Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Byerly |
|---|---|
| Address | 3630 Guion Rd, Indianapolis, Indiana |
| Phone Number | 3179207195 |
| Fax Number | 3179207551 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1023016607 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 3630 Guion Rd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462221616 |
| Phone Number | 3179207195 |
| Fax Number | 3179207551 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Technician, Paramedic |
|---|---|
| Taxonomy | 146L00000X |
| Licence No | 2001355 |
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Definition: An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 191757 | IN | ANTHEM BLUE CROSS PROV. # | |
| 100270690A | IN | -- | |
| 2001355 | IN | STATE LICENSE NUMBER | |
| 100386410 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Byerly by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Byerly has been assigned the NPI (National Provider Identifier) 1023016607. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kenneth Byerly's physical address?
The Kenneth Byerly is physically located at 3630 Guion Rd, in the city of Indianapolis, IN, with the postal code 462221616.
What is Kenneth Byerly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Byerly's area of specialization is Emergency Medical Technician, Paramedic, and the corresponding taxonomy code that categorizes this field of practice is 146L00000X.
On what date was the 1023016607 assigned to Kenneth Byerly?
The Kenneth Byerly was issued its 1023016607 on 2005-07-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kenneth Byerly most recently updated or revised?
The information pertaining to Kenneth Byerly, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-14.