Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Banks Walter Kooken, MD

Individual provider Internal Medicine Physician · NPI 1720614613

Banks Walter Kooken, MD is an Internal Medicine Physician in Indianapolis, Indiana. Works from 3 locations. Licensed in Indiana and North Carolina.

Licensed in
IN, NC
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 400 E Morehead St, Charlotte, NC 28202-2610 — (704) 355-0607
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1242

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 01093215A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2023-01844 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2023-01844 (NC)

Record details

NPI number1720614613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

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