Healthcare Provider Details

I. General information

NPI: 1245225127
Provider Name (Legal Business Name): JEFFREY LEONARD MCKEEBY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MEDICAL PKWY STE 308
ANNAPOLIS MD
21401-3745
US

IV. Provider business mailing address

9600 BLACKWELL RD STE 500
ROCKVILLE MD
20850-3783
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-5500
  • Fax: 877-343-0541
Mailing address:
  • Phone: 301-340-1188
  • Fax: 855-716-1603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberD0043350
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0043350
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: