Individual provider · Type 1 NPI

Richard Allan Keresey, PAC

Physician Assistant · Indianapolis, IN

NPI number 1114093390 Active

Practice location

5603 W Raymond, Suite A
Indianapolis, IN 46241-4356

Fax (317) 247-4978

Mailing address

4850 W Century Plaza Rd
Indianapolis, IN 46254

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10000012A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114093390

Richard Allan Keresey, PAC's National Provider Identifier is 1114093390, issued on Nov 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.