KEITH ENNIS

KOKOMO, IN
NPI1033292628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01040472A)
Enumeration Date2006-10-24
Last Update Date2022-06-20
Business Address
KEITH ENNIS MD
1907 W SYCAMORE ST
KOKOMO, IN 46901-5148
Phone number: 765-456-5433
Mailing Address
KEITH ENNIS MD
1907 W SYCAMORE ST
KOKOMO, IN 46901-5148
Phone number:
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