Individual
DR. DARIN WAYNE KEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 W 4TH ST, MOUNT VERNON, IN 47620-9407
(812) 838-5526
(812) 838-6757
Mailing address
1900 W 4TH ST, MOUNT VERNON, IN 47620-9407
(812) 838-5526
(812) 838-6757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002587B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N100337040A
—
IN
Enumeration date
12/19/2005
Last updated
06/05/2012
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