MEDICARE: CHASE KEIRN PA-C

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	363A00000X	Physician Assistant	10002766A	IN
2	363A00000X	Physician Assistant	PA9110468	FL
3	363A00000X	Physician Assistant	0010-08970	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902328909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHASE KEIRN PA-C

Provider Business Mailing Address
First Line	:	7911 MICHIGAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1915
Country	:	US
Telephone Number	:	317-956-6288
Fax Number	:

Provider Business Practice Location Address
First Line	:	7911 MICHIGAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268
Country	:	US
Telephone Number	:	317-956-6288
Fax Number	:	317-956-6289

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

Provider Enumeration Date	:	07/11/2017
Last Update Date	:	05/14/2026

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Directions to “ CHASE KEIRN PA-C” Practice Location

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