MR. Richard Allan Keresey, PAC

NPI #1114093390 in Indianapolis, Indiana

Provider Information

NPI Number: 1114093390
Entity Type: Individual
Name: MR. Richard Allan Keresey, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Nov 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5603 W RAYMOND
Address 2: SUITE A
City: Indianapolis
State: Indiana
ZIP Code: 46241-4356
Phone: (317) 241-8266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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