Individual provider · Type 1 NPI

Jennifer Keith, PA

Physician Assistant · Bloomington, IN

NPI number 1275015901 Active

Practice location

2907 S Mcintire Dr
Bloomington, IN 47403-4225

Fax (317) 859-7220

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10002549A (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 1275015901

Jennifer Keith, PA's National Provider Identifier is 1275015901, issued on Aug 29, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, IN. The record was last updated on May 7, 2025.