Guy Kedziora is a Radiation Oncology in Plymouth, Indiana. Guy Kedziora practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Guy Kedziora is 1619977543. The last update date is 2018-01-03.
Guy Kedziora's current location address is 1915 Lake Ave, Plymouth, Indiana. You can contact this provider via phone number 5749352353 and fax number 5749352373. The mailing address for Guy Kedziora is 1915 Lake Ave, Plymouth, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guy Kedziora |
|---|---|
| Address | 1915 Lake Ave, Plymouth, Indiana |
| Phone Number | 5749352353 |
| Fax Number | 5749352373 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619977543 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2018-01-03 |
Provider Mailing Address Detail
| Address | 1915 Lake Ave |
|---|---|
| City | Plymouth |
| State | Indiana (IN) |
| Post Code | 465639366 |
| Phone Number | 5749352353 |
| Fax Number | 5749352373 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 1039718 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100092080 | IN | -- | |
| 1619977543 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Guy Kedziora by the Centers for Medicare & Medicaid Services?
The Guy Kedziora has been issued the NPI (National Provider Identifier) 1619977543. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Guy Kedziora is physically located?
The Guy Kedziora is physically situated at the following address: 1915 Lake Ave, Plymouth, IN, 465639366.
What is Guy Kedziora's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Guy Kedziora is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.
When was the Guy Kedziora's 1619977543 issued?
The Guy Kedziora's 1619977543 was issued on 2005-07-21.
When was the information regarding Guy Kedziora, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Guy Kedziora, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-01-03.
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