Individual
KATHARINE KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-4040
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001655A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238143
—
AZ
Enumeration date
04/23/2007
Last updated
08/05/2014
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