Provider Demographics
NPI:1093773996
Name:KEYES, LINDSAY K (DPM)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:K
Last Name:KEYES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1791 W LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3590
Mailing Address - Country:US
Mailing Address - Phone:765-453-7600
Mailing Address - Fax:765-453-3861
Practice Address - Street 1:1791 W LINCOLN RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3590
Practice Address - Country:US
Practice Address - Phone:765-453-7600
Practice Address - Fax:765-453-3861
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-005242213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200824140Medicaid
INV10043Medicare UPIN
INP00480562Medicare PIN
IN200824140Medicaid
IN254400AMedicare PIN