Organization
DEACONESS MEMORIAL MEDICAL CENTER, INC.
Active
Other names
Memorial Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MILLER (CAO - INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
721 W 13TH ST STE 225, JASPER, IN 47546-1817
(812) 996-7388
(812) 996-5933
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-1088
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/20/2025
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