Keith Ennis, MD

NPI #1033292628 in Kokomo, Indiana

Provider Information

NPI Number: 1033292628
Entity Type: Individual
Name: Keith Ennis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 24, 2006
Last Updated: Jun 20, 2022

Practice Location

Address: 1907 W SYCAMORE ST
City: Kokomo
State: Indiana
ZIP Code: 46901-5148
Phone: (765) 456-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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