Provider Demographics
NPI:1770746109
Name:LEMME, KEVIN JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:JAMES
Last Name:LEMME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:30 W RAMPART ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8846
Mailing Address - Country:US
Mailing Address - Phone:317-392-2161
Mailing Address - Fax:317-421-2016
Practice Address - Street 1:30 W RAMPART ST
Practice Address - Street 2:SUITE 160
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8846
Practice Address - Country:US
Practice Address - Phone:317-392-2161
Practice Address - Fax:317-421-2016
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN11011820A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200909850AMedicaid
IN200909850AMedicaid