Individual
MR. KEITH R. PITCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9615 KEILMAN STREET, SAINT JOHN, IN 46373
(219) 365-0220
(219) 365-0226
Mailing address
9615 KEILMAN ST, SAINT JOHN, IN 46373
(219) 365-0220
(219) 365-0226
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02002102A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232835
ANTHEM
IN
Enumeration date
07/28/2005
Last updated
01/09/2018
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