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NPI Code Detail

MEDICARE: DR. SHANNON MICHELLE KEIL MD

MEDICARE: DR. SHANNON MICHELLE KEIL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology PhysicianME178052FL
2207ZP0101XAnatomic Pathology Physician35-087274OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N/AOTHERN/A

General Provider Information

NPI Number : 1487627220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON MICHELLE KEIL MD
Provider Business Mailing Address
First Line : 433 W HIGH ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 433 W HIGH ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1690
Country : US
Telephone Number : 419-636-1131
Fax Number : 419-636-3100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 02/16/2026

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Directions to “ DR. SHANNON MICHELLE KEIL MD” Practice Location

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