Doctor Name: | MS. PATRICIA ANNE KEEFE |
NPI Number: | 1003883299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9100901 |
Business Practice Address: | 4647 Manatee Avenue W Bradenton, FL - 342093816 |
Business Phone Number: | 9417455999 |
Business Fax Number: | 9417453555 |
Mailing Address: | Po Box 637801, Att: Ipm Credentialing CINCINNATI |
State: | OH |
Postal Code: | 452637801 |
Phone Number: | 7753569393 |
Fax Number: | 7753565590 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9100901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |