Healthcare Provider Details

I. General information

NPI: 1063945467
Provider Name (Legal Business Name): KAITLYN ELIZABETH O'KEEFE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 RANDOLPH RD STE 400
CHARLOTTE NC
28207-2027
US

IV. Provider business mailing address

PO BOX 3710
HICKORY NC
28603-3710
US

V. Phone/Fax

Practice location:
  • Phone: 704-342-1900
  • Fax:
Mailing address:
  • Phone: 828-324-9550
  • Fax: 828-324-9145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2020-02969
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number91271
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number91271
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2020-02969
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: