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Kevin Lee Witt
Family Medicine Physician in Roanoke, Indiana
NPI 1922441757

Kevin Lee Witt is a Family Medicine Physician based in Indianapolis, IN. Kevin Lee Witt practices in Roanoke, IN. The NPI Number for Kevin Lee Witt is 1922441757 and holds a License No. (Indiana).

The current practice location address for Kevin Lee Witt is 10101 Ernst Rd Ste 1200, Roanoke, IN and can be reached out via phone at 260-234-5400 and via fax at 260-235-5410.

Location: 10101 Ernst Rd Ste 1200, Roanoke, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922441757
Provider Name
Kevin Lee Witt
Credential
Provider Entity Type
Individual
Gender
Male
Address
10101 Ernst Rd Ste 1200, Roanoke, IN, 46219-4959
Phone Number
260-234-5400
Fax Number
260-235-5410
Provider Enumeration Date
04/11/2013
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102404078 01 IN ANTHEM PTAN
P01801391 01 IN RR MEDICARE
201185280 05 IN
000001525811 01 IN ANTHEM PTAN
1922441757 01 IN ANTHEM PTAN
000001030505 01 IN ANTHEM PTAN
institution
Provider Business Practice Location Address Details
Address
10101 Ernst Rd Ste 1200
City
Roanoke
State
Indiana
Zip
46783-9711
Phone Number
260-234-5400
Fax Number
260-235-5410
person
Provider Business Mailing Address Details
Address
10101 Ernst Rd Ste 1200
City
Roanoke
State
Indiana
Zip
46783-9711
Phone Number
260-234-5400
Fax Number
260-235-5410
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01074572A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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