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General NPI Number Information
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NPI Number | 1629023767
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Entity Type | Individual
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Provider Name | JAMES KEITH KEELING M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 409 COTTAGE RD
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City | CARTHAGE
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State | TX
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Zip | 75633-1466
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Country | US
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Telephone | 903-694-6626
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | CARTHAGE
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State | TX
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Zip | 75633-0549
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Country | US
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Telephone | 903-693-6626
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E8614
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License Number State | TX
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