Individual
TREVOR KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
357 W MORGAN ST STE C, SPENCER, IN 47460-1255
(812) 855-8436
Mailing address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003878A
IN
152W00000X
Optometrist
4901004865
MI
Other
Enumeration date
08/11/2014
Last updated
12/31/2014
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