Keith Randall Whitesides in Lafayette - Family Medicine

Keith Randall Whitesides - NPI 1548229644

Keith Randall Whitesides is a Family Medicine in Lafayette, Indiana. Keith Randall Whitesides practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Keith Randall Whitesides is 1548229644. The last update date is 2012-07-23.

Keith Randall Whitesides's current location address is Po Box 5545, Lafayette, Indiana. You can contact this provider via phone number 7654488000. The mailing address for Keith Randall Whitesides is Po Box 5545, Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Randall Whitesides
Address Po Box 5545, Lafayette, Indiana
Phone Number 7654488000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1548229644
Provider Enumeration Date 2006-03-20
Last Updated Date 2012-07-23

Provider Mailing Address Detail

Address Po Box 5545
City Lafayette
State Indiana (IN)
Post Code 479035545
Phone Number 7654488000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01032200A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431714 IN PHCS PID NUMBER
190237 IN ANTHEM PROVIDER NUMBER
10826183 IN CAQH NUMBER
200100480 IN --

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FAQs about Keith Randall Whitesides

What is the unique identifier code issued to Keith Randall Whitesides by the Centers for Medicare & Medicaid Services?

The Keith Randall Whitesides has been assigned the NPI (National Provider Identifier) 1548229644. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Keith Randall Whitesides's facilities are situated?

The facilities of Keith Randall Whitesides are physically located at the following address: Po Box 5545, Lafayette, IN, 479035545.

What is Keith Randall Whitesides's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Keith Randall Whitesides is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548229644 to Keith Randall Whitesides?

The Centers for Medicare & Medicaid Services originally issued the 1548229644 to Keith Randall Whitesides on 2006-03-20.

When was the Keith Randall Whitesides's information last updated?

The Keith Randall Whitesides's information was last updated on 2012-07-23.

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