Provider Demographics
NPI:1750532107
Name:KEFFER, HARRY LEE (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LEE
Last Name:KEFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15238 CHARBONO ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-7332
Mailing Address - Country:US
Mailing Address - Phone:317-674-4001
Mailing Address - Fax:
Practice Address - Street 1:15238 CHARBONO ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7332
Practice Address - Country:US
Practice Address - Phone:317-674-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01220244A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology