Healthcare Provider Details

I. General information

NPI: 1386647691
Provider Name (Legal Business Name): RICHARD ANTHONY KEH DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 CAMDEN ST STE 309
SAN ANTONIO TX
78215-2013
US

IV. Provider business mailing address

311 CAMDEN ST STE 309
SAN ANTONIO TX
78215-2013
US

V. Phone/Fax

Practice location:
  • Phone: 210-225-8882
  • Fax: 210-225-8987
Mailing address:
  • Phone: 210-225-8882
  • Fax: 210-225-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1137
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: