person
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. You can also correspond with Keith A. Egly through the mailing address at 8415 STATE ROAD 205, CHURUBUSCO, IN - 46723-9234 (mailing address contact number: 260-417-2775).

Location: 8415 State Road 205, Churubusco, IN, 46723-9234
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
State
Zip
46723-9234
Phone Number
260-417-2775
Fax Number
person
Provider Business Mailing Address Details
Address
8415 State Road 205
City
State
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
License No.
110355 (West Virginia)
Definition
Definition to come...
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