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General NPI Number Information
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NPI Number | 1063530103
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Entity Type | Organization
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Legal Business Name | DR RICHARD KEH PC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 311 CAMDEN ST STE 309
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2013
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Country | US
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Telephone | 210-225-8822
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Fax | 210-225-8987
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Provider Business Mailing Address
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Address Line | 311 CAMDEN ST STE 309
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2013
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Country | US
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Telephone | 210-225-8822
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Fax | 210-225-8987
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD A KEH
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Credential | DPM
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Telephone | 210-225-8882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | J9400
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1137
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License Number State | TX
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