Doctor Name: | MR. ABRAM M KEATING |
NPI Number: | 1184700189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 23436.0826 |
Business Practice Address: | 991 Medical Park Dr Ste 107 Maysville, KY - 410568766 |
Business Phone Number: | 6067599353 |
Business Fax Number: | 6067599702 |
Mailing Address: | 991 Medical Park Dr Ste 107, MAYSVILLE |
State: | KY |
Postal Code: | 410568766 |
Phone Number: | 6067599353 |
Fax Number: | 6067599702 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 23436.0826 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |