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Individual

KEITH ELDON ASHBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-9680
Mailing address
130 W MARTZ STREET, SUITE 6, GREENVILLE, OH 45331
(937) 548-1535
(937) 548-3138

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0103119A
IN
2084P0800X
Psychiatry Physician
Primary
35049927
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000019441
ANTHEM BCBS
05
0562154
OH
01
260020831
MEDICARE RR
01
31140631400
WORKMANS COMP
01
MIS243081000
MAGELLAN BEHAVIORAL HEALT
Enumeration date
07/30/2006
Last updated
11/16/2023
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