Individual
MS. VICTORIA ALEXANDRIA KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
900 W 30TH ST, INDIANAPOLIS, IN 46208-5038
(317) 946-5470
(317) 344-3092
Mailing address
PO BOX 781348, INDIANAPOLIS, IN 46278-8348
(317) 946-5470
(317) 344-3092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09-012142-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947300A
—
IN
Enumeration date
10/03/2007
Last updated
11/19/2009
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