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Keith Ennis, MD
Family Medicine Physician in Kokomo, Indiana
NPI 1033292628

Keith Ennis is a Family Medicine Physician based in Kokomo, IN. Keith Ennis practices in Kokomo, IN and has the professional credentials of MD. The NPI Number for Keith Ennis is 1033292628 and holds a License No. 01040472A (Indiana).

The current practice location address for Keith Ennis is 1907 W Sycamore St, Kokomo, IN and can be reached out via phone at 765-456-5433.

Location: 1907 W Sycamore St, Kokomo, IN, 46901-5148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033292628
Provider Name
Keith Ennis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1907 W Sycamore St, Kokomo, IN, 46901-5148
Phone Number
765-456-5433
Fax Number
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200014450E 05 IN
institution
Provider Business Practice Location Address Details
Address
1907 W Sycamore St
City
Kokomo
State
Indiana
Zip
46901-5148
Phone Number
765-456-5433
Fax Number
person
Provider Business Mailing Address Details
Address
1907 W Sycamore St
City
Kokomo
State
Indiana
Zip
46901-5148
Phone Number
765-456-5433
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01040472A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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