Provider Demographics
NPI:1407135981
Name:MCGREGOR, KYLE AARON (MPP, MSW)
Entity Type:Individual
Prefix:MR
First Name:KYLE
Middle Name:AARON
Last Name:MCGREGOR
Suffix:
Gender:M
Credentials:MPP, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W 10TH ST
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3010
Mailing Address - Country:US
Mailing Address - Phone:317-278-7792
Mailing Address - Fax:
Practice Address - Street 1:410 W 10TH ST
Practice Address - Street 2:SUITE 1001
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3010
Practice Address - Country:US
Practice Address - Phone:317-278-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist