Individual
GERALD KEENER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N RITTER AVE, STE 276, INDIANAPOLIS, IN 46219-3052
(317) 352-1841
(317) 352-0097
Mailing address
1400 N RITTER AVE, STE 276, INDIANAPOLIS, IN 46219-3052
(317) 352-1841
(317) 352-0097
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
010-22214
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055680
—
IA
Enumeration date
08/16/2005
Last updated
08/18/2008
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