Kenneth Legault

NPI 1841361011 · on the registry since 2006

Practice

Address: 5430 E Washington St
Indianapolis, IN 46219
Phone: (317) 322-1840
Organisation at this address: Indy East Smiles Youth Dentistry Llc
Centerwell Senior Primary Care In Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

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