Healthcare Provider Details

I. General information

NPI: 1982789798
Provider Name (Legal Business Name): AMANDA JANE KEERBS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-4418
US

IV. Provider business mailing address

8528 ACORN CIR
VIENNA VA
22180-7007
US

V. Phone/Fax

Practice location:
  • Phone: 800-526-7101
  • Fax:
Mailing address:
  • Phone: 206-355-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberD72238
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number0101251163
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: