MEDICARE: MARKIE KEELAN

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1558800292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARKIE KEELAN

Provider Business Mailing Address
First Line	:	4550 E CHERRY CREEK SOUTH DR
Second Line	:	1005
City	:	DENVER
State	:	CO
Zip	:	80246-1554
Country	:	US
Telephone Number	:	805-407-8450
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 E CHERRY CREEK SOUTH DR
Second Line	:	1005
City	:	DENVER
State	:	CO
Zip	:	80246-1554
Country	:	US
Telephone Number	:	805-407-8450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	02/14/2017

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Directions to “ MARKIE KEELAN ” Practice Location

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