Individual provider · NPI-1

Dr. Eamonn M Keane, MD

Family Medicine · Peru, IN

NPI number1750558136
StatusActive
Last updated in NPPESAug 29, 2025

Details

NPI
1750558136
Entity type
Individual (NPI-1)
Name
Dr. Eamonn M Keane
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 14, 2008
Certification date
Aug 29, 2025
Last updated
Aug 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01069866AINYes
207P00000X Emergency Medicine01069866AIN

Practice location

275 W 12th St
Peru, IN 46970-1638

Phone 765-472-8000

Mailing address

7950 W Jefferson Blvd
Suite 2121
Fort Wayne, IN 46804-4140

Phone 260-435-7937 · Fax 260-435-7933

Other practice locations

7950 W Jefferson Blvd
Suite 2121
Fort Wayne, IN 46804-4140

Phone 260-435-7937 · Fax 260-435-7933

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