Most Relevant Information
Provider Data
| NPI Number: | 1003207614 |
| Provider Name: | KYLE W BONHAM LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 33007045A |
Most Important Dates
| Enumeration Date: | 02/18/2015 |
| Last Updated: | 02/18/2015 |
Provider Practice Location
1633 N CAPITOL AVE
STE 300
INDIANAPOLIS
IN
462021261
Practice Location Phone/Fax
| Phone: | 3179622700 |
| Fax: | 3179635039 |
Provider Mailing Location
1633 N CAPITOL AVE
STE 300
INDIANAPOLIS
IN
462021261
Provider Mailing Phone/Fax
| Phone: | 3179622700 |
| Fax: | 3179635039 |