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

Keith Andrew Gagnon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669274106

Keith Andrew Gagnon, MD is a Student in an Organized Health Care Education/Training Program in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

395 W 12th Ave Ste 662
Columbus, OH 43210-1267
Phone: (614) 293-8704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 57.258240 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669274106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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