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Search › Indiana › 2086S0127X

Keith Clancy, M.D

NPI 1164482303 · on the registry since 2006

Practice

Address
7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804
Phone
(260) 458-3610
Fax
(260) 458-3611
Organisation at this address
Imagi, Llc
Ent Realty Corp
Aboite Eye Care, P.C.
Aboite Eye Care, P.C.
Inquest Health System Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
2086S0127X
2086S0127X
Also registered as
208600000X
208600000X
208600000X
208600000X
2086S0102X
2086S0102X
2086S0127X
2086S0127X
2086S0127X
Licence states on file
PA, IL, OH, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana