Richard Allan Keresey in Indianapolis - Physician Assistant
Richard Allan Keresey - NPI 1114093390
Richard Allan Keresey is a Physician Assistant in Indianapolis, Indiana. Richard Allan Keresey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard Allan Keresey is 1114093390. The last update date is 2007-07-08.
Richard Allan Keresey's current location address is 5603 W Raymond, Indianapolis, Indiana. You can contact this provider via phone number 3172418266 and fax number 3172474978. The mailing address for Richard Allan Keresey is 5603 W Raymond, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Allan Keresey |
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Address | 5603 W Raymond, Indianapolis, Indiana |
Phone Number | 3172418266 |
Fax Number | 3172474978 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1114093390 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5603 W Raymond |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462414356 |
Phone Number | 3172418266 |
Fax Number | 3172474978 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10000012A |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Richard Allan Keresey by the Centers for Medicare & Medicaid Services?
The Richard Allan Keresey has been issued the NPI (National Provider Identifier) 1114093390, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard Allan Keresey's physical address?
The Richard Allan Keresey is physically located at 5603 W Raymond, in the city of Indianapolis, IN, with the postal code 462414356.
What is Richard Allan Keresey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard Allan Keresey is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Richard Allan Keresey receive its 1114093390?
The Richard Allan Keresey was issued its 1114093390 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Richard Allan Keresey's details last updated?
The information pertaining to the Richard Allan Keresey, including its address, specialty, and other details, was most recently updated on 2007-07-08.