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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEPPANYA KA KEOLASY, MD

Active

THEPPANYA KA KEOLASY, MD is a Family Medicine healthcare provider located in ROANOKE, Indiana. NPI 1124028881 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROANOKE, IN

Registration Details

NPI Number
1124028881
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2005 (21.018026937831 yrs)
Last Updated
Dec 22, 2022
License
01058795A (IN)

Practice Information

Address
577 GEIGER DR STE C
ROANOKE, IN, 467838877
Browse IN providers · Browse ZIP 46783
Phone
2606725950
Fax
2606720939
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ROANOKE, IN

Name Credential NPI
MARK A KING DO 1720079148
JEFFREY L WITT MD 1073523098
JOEL JOSE C VALCARCEL MD 1982615852
DR. AMY H WELKER M.D. 1528173168
CHRISTI ANN WALLACE MD 1346535358
CATHERINE C MOFFITT DO 1770845992
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.