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Contact Information

KEVIN TERRELL, MD
2630 22ND ST
COLUMBUS, IN47201
 Phone: 812-375-3784
 Fax: 812-375-3781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEVIN TERRELL · (Male)

NPI Number 1760591648
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 09/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 02001985A
  • IN Medicaid 200215910
  • IN Other 000000112255 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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