Individual
KEITH W CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1159 W JEFFERSON ST STE 206, FRANKLIN, IN 46131-2795
(317) 738-4430
(317) 738-4405
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01065032A
IN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
01065032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200904510
—
IN
Enumeration date
04/19/2007
Last updated
03/22/2021
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