Doctor Name: | DR. SHANE DAMIEN O'KEEFFE |
NPI Number: | 1003060294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 43021 |
Business Practice Address: | 800 Park St Bowling Green, KY - 421012356 |
Business Phone Number: | 2707451467 |
Business Fax Number: | 2707451156 |
Mailing Address: | 350 Park St, Suite 210 BOWLING GREEN |
State: | KY |
Postal Code: | 421011784 |
Phone Number: | 2707963330 |
Fax Number: | 2707963338 |
NPI Enumeration Date: | 11/14/2008 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 43021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |