Dr Deborah Kinnamon, | |
820 N Samuel Moore Pkwy, Ste C, Mooresville, IN 46158-1467 | |
(317) 483-5080 | |
(317) 483-5085 |
Full Name | Dr Deborah Kinnamon |
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Gender | Female |
Speciality | Pediatrics |
Location | 820 N Samuel Moore Pkwy, Mooresville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093759102 | NPI | - | NPPES |
200294420 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01052369 (Indiana) | Secondary |
208000000X | Pediatrics | 01052369A (Indiana) | Primary |
Entity Name | University Family Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Dr Deborah Kinnamon, 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Deborah Kinnamon, 820 N Samuel Moore Pkwy, Ste C, Mooresville, IN 46158-1467 Ph: (317) 483-5080 |
James P Bohney, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Iu Health Physicians Building, 820 Samuel Moore Parkway, Mooresville, IN 46258 Phone: 317-483-5000 Fax: 317-483-5050 | |
Sidney L Gilbert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Town Center Drive, Suite B, Mooresville, IN 46158 Phone: 317-834-5317 Fax: 317-834-4221 | |
Dr. Kevin L Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 820 N Samuel Moore Pkwy, Ste A, Mooresville, IN 46158 Phone: 317-483-5080 Fax: 317-483-5085 | |
Amanda Marie Walter, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Hadley Rd # Ll050, Mooresville, IN 46158 Phone: 317-834-3502 Fax: 317-834-3519 | |
Dr. Joan F Doak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 820 N Samuel Moore Pkwy, Ste C, Mooresville, IN 46158 Phone: 317-483-5080 Fax: 317-483-5085 | |
Michael A. Rawlings, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 820 N. Samuel Moore Pkwy., Ste A, Mooresville, IN 46158 Phone: 317-483-5000 Fax: 317-483-5050 |