Healthcare Provider Details

I. General information

NPI: 1942597646
Provider Name (Legal Business Name): KATHERINE MONAHAN KEELER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2011
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 PINEVIEW ST
ALTAMONTE SPRINGS FL
32701-7950
US

IV. Provider business mailing address

525 PINEVIEW ST
ALTAMONTE SPRINGS FL
32701-7950
US

V. Phone/Fax

Practice location:
  • Phone: 407-746-2414
  • Fax:
Mailing address:
  • Phone: 407-746-2414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT006209
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: