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Individual

GARY J KEEPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 W PIKE AVE, PETERSBURG, IN 47567-8750
(812) 354-1052
(812) 354-8280
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 354-1052
(812) 354-8280

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044355A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042165
BCBS PIN
IN
05
100373750
IN
Enumeration date
05/31/2005
Last updated
01/03/2013
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