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Keith A. Egly
Family Nurse Practitioner in Churubusco, Indiana
NPI 1790451730

Keith A. Egly is a Family Nurse Practitioner based in Churubusco, IN and is specialized in Family. Keith A. Egly practices in Churubusco, IN. The NPI Number for Keith A. Egly is 1790451730 and holds a License No. 110355 (Indiana).

The current practice location address for Keith A. Egly is 8415 State Road 205, Churubusco, IN and can be reached out via phone at 260-417-2775.

Location: 8415 State Road 205, Churubusco, IN, 46723-9234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790451730
Provider Name
Keith A. Egly
Credential
Provider Entity Type
Individual
Gender
Male
Address
8415 State Road 205, Churubusco, IN, 46723-9234
Phone Number
260-417-2775
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8415 State Road 205
City
Churubusco
State
Indiana
Zip
46723-9234
Phone Number
260-417-2775
Fax Number
person
Provider Business Mailing Address Details
Address
8415 State Road 205
City
Churubusco
State
Indiana
Zip
46723-9234
Phone Number
260-417-2775
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
110355 (West Virginia)
Definition
Definition to come...
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