Keltner, Richard S

Keltner, Richard S is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keltner, Richard S can be contacted via phone (317) 962-3886.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (317) 962-3886
Fax: (317) 963-5492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000536A Indiana

Profile Details

NPI number 1407855364
LBN Legal business name Keltner, Richard S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Feb 13th, 2021 - about 4 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 1407855364 NPPES
Indiana Other 000000659907 ANTHEM BC/BS
Indiana Other 970021354 ANTHEM BC/BS
Indiana Other 000000626065 ANTHEM BC/BS
Indiana Other P00775296 ANTHEM BC/BS
Indiana Other 000000340099 ANTHEM BC/BS
Indiana Other P00841047 ANTHEM BC/BS

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