Individual
DR. MEGAN BARTLETT KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
151 EAST BOW STREET, SUITE 1, THORNTOWN, IN 46071
(765) 436-2433
(765) 436-2551
Mailing address
151 EAST BOW STREET, SUITE 1, THORNTOWN, IN 46071
(765) 436-2433
(765) 436-2551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011840A
IN
1223G0001X
General Practice Dentistry
Primary
12011840A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011840A
DENTAL LICENSE
IN
Enumeration date
10/29/2012
Last updated
10/05/2015
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