Healthcare Provider Details

I. General information

NPI: 1952714867
Provider Name (Legal Business Name): PATRICK KEATING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 INGERSOLL AVE
DES MOINES IA
50312-3910
US

IV. Provider business mailing address

308 49TH ST
DES MOINES IA
50312-2508
US

V. Phone/Fax

Practice location:
  • Phone: 515-240-2022
  • Fax: 515-481-8451
Mailing address:
  • Phone: 515-240-2022
  • Fax: 515-481-8451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD-46158
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLL36987
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: