Provider Demographics
NPI:1306928353
Name:KEYES, WILLIAM F (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:KEYES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2000 E 116TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3508
Mailing Address - Country:US
Mailing Address - Phone:317-844-5523
Mailing Address - Fax:317-587-0164
Practice Address - Street 1:2000 E 116TH STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3581
Practice Address - Country:US
Practice Address - Phone:317-844-5523
Practice Address - Fax:317-587-0164
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN07000336213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T81852Medicare UPIN
IN068310Medicare ID - Type Unspecified