Keith A. Egly
NPI #1790451730 in Churubusco, Indiana
Provider Information
- NPI Number
- 1790451730
- Entity Type
- Individual
- Name
- Keith A. Egly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 19, 2021
- Last Updated
- Aug 19, 2021
Practice Location
- Address
- 8415 STATE ROAD 205
- City
- Churubusco
- State
- Indiana
- ZIP Code
- 46723-9234
- Phone
- (260) 417-2775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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