Keck, Julie K

Keck, Julie K is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 1601, Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Keck, Julie K can be contacted via phone (317) 274-4842.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 1601 Indianapolis IN 46202-5109
Phone: (317) 274-4842
Fax: (317) 278-0126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 01058197 Indiana

Profile Details

NPI number 1871600668
LBN Legal business name Keck, Julie K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871600668 NPPES
Indiana MEDICAID 200455660

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