Individual
C KEITH CHITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12065 OLD MERIDIAN ST STE 100, CARMEL, IN 46032-8774
(317) 844-5351
(317) 844-0310
Mailing address
12065 OLD MERIDIAN ST STE 100, CARMEL, IN 46032-8774
(317) 844-5351
(317) 844-0310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01057411
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200440340
—
IN
05
—
206754400
—
MO
Enumeration date
08/23/2006
Last updated
11/18/2020
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