Provider Demographics
NPI:1760792451
Name:KEESLING, LINDSEY MICHELLE (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:KEESLING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7678 GARRICK ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-1995
Mailing Address - Country:US
Mailing Address - Phone:765-610-1894
Mailing Address - Fax:
Practice Address - Street 1:801 CONGRESSIONAL BLVD
Practice Address - Street 2:STE 200
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5646
Practice Address - Country:US
Practice Address - Phone:317-818-1059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023222A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN26023222AOtherPHARMACIST LICENSE