Individual
SCOTT R KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3810
Mailing address
406 N 1ST ST, VINCENNES, IN 47591-1340
(812) 882-1106
(812) 895-2458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200897170
—
IN
01
—
941140001
MEDICARE PTAN
IN
Enumeration date
05/01/2007
Last updated
04/26/2018
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