National Provider Identifier Database

GUY KEDZIORA, MD – NPI #1619977543
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

GUY KEDZIORA, MD
1915 LAKE AVE
PLYMOUTH, IN46563-9366
Phone: 574-935-2353
Fax: 574-935-2373
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for GUY KEDZIORA

NPI Number 1619977543
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 01/03/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01039718
  • IN Medicaid: 100092080
  • MI Medicaid: 1619977543
Hospital affiliation n/a

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.

Reviews for GUY KEDZIORA, MD

There are currently no reviews for GUY KEDZIORA, MD


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