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

Mr. Richard Allan Keresey, PAC

Individual provider Physician Assistant · NPI 1114093390

Mr. Richard Allan Keresey, PAC is a Physician Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5603 W Raymond Ste A
Indianapolis, IN 46241-4356
Phone: (317) 241-8266
Fax: (317) 247-4978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000012A (IN)

Record details

NPI number1114093390
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJuly 8, 2007

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