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General NPI Number Information
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NPI Number | 1356392955
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Entity Type | Organization
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Legal Business Name | KEITH A. HARVEY MD; PC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 955 HIGH ST STE 1
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City | DECATUR
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State | IN
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Zip | 46733-2360
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Country | US
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Telephone | 260-724-2145
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Fax | 260-728-3858
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Provider Business Mailing Address
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Address Line | 955 HIGH ST STE 1
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City | DECATUR
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State | IN
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Zip | 46733-2361
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Country | US
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Telephone | 260-724-2145
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Fax | 260-728-3858
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Authorized Official
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Title or Position | INSURANCE ADM
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Name | MRS. PAMELA K STRICKLER
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Credential |
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Telephone | 260-724-2145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01046376A
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License Number State | IN
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