Theppanya Ka Keolasy, MD

NPI #1124028881 in Roanoke, Indiana

Provider Information

NPI Number: 1124028881
Entity Type: Individual
Name: Theppanya Ka Keolasy, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 26, 2005
Last Updated: Dec 22, 2022

Practice Location

Address: 577 GEIGER DR STE C
City: Roanoke
State: Indiana
ZIP Code: 46783-8877
Phone: (260) 672-5950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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