Healthcare Provider Details

I. General information

NPI: 1811236789
Provider Name (Legal Business Name): LEAH D KEEL APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2013
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 OUTPATIENT CIRCLE OUTPATIENT CENTER
LITTLE ROCK AR
72205
US

IV. Provider business mailing address

4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-5311
  • Fax: 501-686-5935
Mailing address:
  • Phone: 501-686-8000
  • Fax: 501-526-5148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberA003808
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: