Healthcare Provider Details

I. General information

NPI: 1497451678
Provider Name (Legal Business Name): K.D. KEEL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N EL DORADO PL # E520
TUCSON AZ
85715-4637
US

IV. Provider business mailing address

1200 N EL DORADO PL # I910
TUCSON AZ
85715-4637
US

V. Phone/Fax

Practice location:
  • Phone: 480-705-7300
  • Fax:
Mailing address:
  • Phone: 520-637-3362
  • Fax: 520-526-2837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLIE D KEEL
Title or Position: OWNER
Credential: NP
Phone: 520-637-3362