NPI 1003207614

Kyle W Bonham, LSW

Practitioner Social Worker Indianapolis, IN

Practice location

Address: 1633 N Capitol Ave STE 300, Indianapolis, IN 46202-1261
Phone: (317) 962-2700
Fax: (317) 963-5039

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 33007045A (IN)

Other Social Worker providers in Indiana →

Registry record

NPI: 1003207614
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2015
Record last updated: 18 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.