Individual
KEITH E MCEWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8081 RAVEN ROCK DR, INDIANAPOLIS, IN 46256-1854
(317) 915-1058
Mailing address
8081 RAVEN ROCK DR, INDIANAPOLIS, IN 46256-1854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01039385
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089044
BLUE CROSS BLUE SHIELD
IN
01
—
000000781468
ANTHEM
IN
05
—
100177090A
—
IN
01
—
2235832
AETNA
IN
01
—
I014043
CHAMPUS
IN
01
—
P01405435
RR MEDICARE
IN
Enumeration date
11/29/2005
Last updated
02/18/2026
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