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 |
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Address | Po Box 5545, Lafayette, Indiana |
Phone Number | 7654488000 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1548229644 |
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Provider Enumeration Date | 2006-03-20 |
Last Updated Date | 2012-07-23 |
Provider Mailing Address Detail
Address | Po Box 5545 |
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City | Lafayette |
State | Indiana (IN) |
Post Code | 479035545 |
Phone Number | 7654488000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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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 |
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431714 | IN | PHCS PID NUMBER | |
190237 | IN | ANTHEM PROVIDER NUMBER | |
10826183 | IN | CAQH NUMBER | |
200100480 | IN | -- |
Post Comment/ Review Below
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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