Search › Indiana › 101YM0800X
Larry Brunson
NPI 1326464645 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6453 Kentstone Dr
Indianapolis, IN 46268 - Phone
- (317) 985-3119
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana