Individual provider Active NPI

Kathryn Elaine Keene, D.C.

  • Chiropractor
  • Bedford, IN
National Provider Identifier
1487079091
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002797A Issued in IN
Practice address
2415 Mitchell Rd Ste C
Bedford, IN 47421-4747
Phone
(812) 393-8070
Fax
(812) 954-5024
NPI assigned
Feb 19, 2014
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4422 OH
Chiropractor 111N00000X 08002797A IN Primary

Addresses

Primary practice location

2415 Mitchell Rd Ste C
Bedford, IN 47421-4747

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

Other practice location 1

1332 W Arch Haven Ave Ste C
Bloomington, IN 47403-2078
Phone (812) 333-7447 ext. 105

Other identifiers 1

IdentifierTypeStateIssuer
201354780MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000883 IN Practitioner - Chiropractic 0345472007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Health Centers IncGroup PAC ID 3971599473, 63 clinicians

Practice addresses (Care Compare)

2415 Mitchell Rd
Suite C
Bedford, IN 47421-4747
Phone (812) 393-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Health Centers, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Indiana Health Centers Inc CurrentSince Oct 3, 2025 Accepting new patients
Corydon Pain Management Clinic Inc Chiropractor Past Accepting new patients
Integrated Medical Group LLC PastSince Jul 6, 2021 Accepting new patients

Locations

2415 Mitchell Rd
Ste C
Bedford, IN 47421
Phone (812) 275-2660

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1487079091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MITCHELL RD STE C",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214747",
            "telephone_number": "812-393-8070",
            "fax_number": "812-954-5024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 W Arch Haven Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032078",
            "country_code": "US",
            "telephone_number": "812-333-7447 x105",
            "fax_number": "812-333-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENE",
        "first_name": "KATHRYN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4422",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002797A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201354780",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.