Individual
KEITH J HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 N HIGH ST, HILLSBORO, OH 45133-8273
(937) 393-6100
(937) 619-4150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35061943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000552748
ANTHEM BCBS
OH
01
—
000000552749
ANTHEM BCBS PIKE
OH
05
—
0865925
—
OH
Enumeration date
01/05/2006
Last updated
11/10/2011
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