Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Moore Keathley, APRN

Individual provider Family Nurse Practitioner · NPI 1649642406

Kathryn Moore Keathley, APRN is a Nurse Practitioner in Greendale, Indiana. Qualified in 2015, 11 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
11
Licensed in
IN, KY
In the registry since
2015
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1640 Flossie Dr
Greendale, IN 47025-8424
Phone: (812) 496-3290
Fax: (812) 537-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3009737 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3009737 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71007956A (IN)

Record details

NPI number1649642406
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 20, 2015
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greendale