Provider Demographics
NPI:1427361450
Name:KAEHR, MARK MATSON (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:MATSON
Last Name:KAEHR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10585 N MERIDIAN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1066
Mailing Address - Country:US
Mailing Address - Phone:317-571-1501
Mailing Address - Fax:317-571-4806
Practice Address - Street 1:10585 N MERIDIAN ST STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46290-1066
Practice Address - Country:US
Practice Address - Phone:317-571-1501
Practice Address - Fax:317-571-4806
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2024-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01077286A207WX0108X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN088990002Medicare PIN