DR. KEITH CLANCY, M.D.

Surgery - Trauma Surgery

Active Individual
NPI: 1164482303

Practice Address

7900 W JEFFERSON BLVD STE 306
Fort Wayne, IN 46804

Phone: (260) 458-3610

Specialties

Specialty Code Primary License
Surgery 208600000X No 01079569A (IN)
Surgery - Surgical Critical Care 2086S0102X No 35.123491 (OH)
Surgery - Trauma Surgery 2086S0127X Yes 01079569A (IN)

Frequently Asked Questions

NPI 1164482303 is the National Provider Identifier for DR. KEITH CLANCY, M.D., a Surgery - Trauma Surgery provider located in Fort Wayne, IN. This NPI was enumerated on March 23, 2006.
DR. KEITH CLANCY, M.D. practices at 7900 W JEFFERSON BLVD STE 306, Fort Wayne, IN 46804.

Quick Facts

NPI
1164482303
Type
Individual
Enumerated
Mar 23, 2006
Last Updated
Sep 23, 2020

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