# DR. KEITH ARBUCKLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073872859
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 016005677 | IL | — |
| 213E00000X | Podiatrist | 0836 | AZ | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016005677 | IL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | POD000836 | AZ | Yes |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 11/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016005677 | — | IL |
| 05 | — | 161742 | — | AZ |