Kyle W Bonham, LSW

NPI #1003207614 in Indianapolis, Indiana

Provider Information

NPI Number: 1003207614
Entity Type: Individual
Name: Kyle W Bonham, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Feb 18, 2015
Last Updated: Feb 18, 2015

Practice Location

Address: 1633 N CAPITOL AVE
Address 2: STE 300
City: Indianapolis
State: Indiana
ZIP Code: 46202-1261
Phone: (317) 962-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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