NPI
Kevin John Defries
NPI 1285640300
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- D.C.
- Type
- Individual
- Enumeration date
- 2006-07-31
- Last updated
- 2007-07-09
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Specialties
Licenses
- License IN
- 08001292
Location
- Practice location
- 5529 W State Road 10, PO 238
- City
- Demotte IN
- Postal code
- 46310-8799
- Phone
- (219) 987-7333
- Fax
- (219) 987-7749
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Demotte, IN. 128 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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