MEDICARE: DR. KEITH A PHILLIPS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	01031573A	IN

General Provider Information

NPI Number	:	1417180308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH A PHILLIPS M.D.

Provider Business Mailing Address
First Line	:	1116 MILLIS AVE
Second Line	:
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2226
Country	:	US
Telephone Number	:	812-897-7130
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 MILLIS AVE
Second Line	:
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2226
Country	:	US
Telephone Number	:	812-897-7130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	08/26/2009

Similar Medicare Providers

1992707103 — JOSEL V MIJARES M.D.
Practice Location Address:

1116 MILLIS AVE
BOONVILLE, IN
47601-2226

Practice Phone: 812-897-7383
Practice Fax:

1508026402 — ST. MARY'S WARRICK HOSPITAL, INC.
Practice Location Address:

1116 MILLIS AVE
BOONVILLE, IN
47601-2226

Practice Phone: 812-897-4800
Practice Fax: 812-897-7375

1235389321 — FAMILY COUNSELING SERVICE, LLC
Practice Location Address:

1116 MILLIS AVE
BOONVILLE, IN
47601-2226

Practice Phone: 812-897-7131
Practice Fax: 812-897-7456

1629800727 — JENNIFER NICOLE HOFFMAN FNP-C
Practice Location Address:

1116 MILLIS AVE STE 101
BOONVILLE, IN
47601-2226

Practice Phone: 812-897-7107
Practice Fax:

1851393110 — SUMIR BHATEJA MD
Practice Location Address:

3277 LIBERTY BLVD STE A
BOONVILLE, IN
47601-9659

Practice Phone: 812-897-8500
Practice Fax:

1932106770 — DR. CHARLES MITCHELL HAYMAN D.C.
Practice Location Address:

423 W LOCUST ST
BOONVILLE, IN
47601-1525

Practice Phone: 812-897-8000
Practice Fax: 812-897-4922

Directions to “ DR. KEITH A PHILLIPS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.