Individual
VINCENT P KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 E COUNTY LINE RD, STE 2400, INDIANAPOLIS, IN 46227-0963
(317) 887-7880
(317) 887-7886
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34760
AZ
207RC0000X
Cardiovascular Disease Physician
01072455A
IN
207RC0000X
Cardiovascular Disease Physician
51704-20
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01072455A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
51704-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201153640
—
IN
01
—
P01222133
RR MEDICARE PTAN
IN
Enumeration date
02/27/2006
Last updated
06/11/2021
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