Dr KEITH EDWARD ENNIS MD is a male medical professional, specializing in Emergency Medicine. He graduated in 1991 from Indiana University School Of Medicine.
ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER
8240 NAAB RD
INDIANAPOLIS
IN
462601985
Tel:
| Npi | 1033292628 |
| Pac Id | 6608971809 |
| Professional Enrollment Id | I20070417000470 |
| Last Name | ENNIS |
| First Name | KEITH |
| Middle Name | EDWARD |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialty 1 | FAMILY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | FAMILY MEDICINE |
| Organization Legal Name | ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER |
| Group Practice Pac Id | 9638072184 |
| Number Of Group Practice Members | 196 |
| Line 1 Street Address | 8240 NAAB RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 462601985 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 150010 |
| Hospital Affiliation Lbn 1 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
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| Professional Accepts Medicare Assignment | Y |
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