Individual
IAN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1958 E US HIGHWAY 36 STE C, URBANA, OH 43078-9799
(937) 652-1834
Mailing address
1958 E US HIGHWAY 36 STE C, URBANA, OH 43078-9799
(937) 652-1834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.017201
OH
Other
Enumeration date
04/12/2022
Last updated
10/17/2025
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