=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811236789
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LEAH D KEEL APN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2013
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3343 SPRINGHILL DR
-----------------------------------------------------
City | NORTH LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72117-2929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-975-7676
-----------------------------------------------------
Fax | 501-975-0653
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 41 GREYSTONE BLVD
-----------------------------------------------------
City | CABOT
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72023-8175
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-541-3381
-----------------------------------------------------
Fax | 501-975-0653
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2100X
-----------------------------------------------------
Taxonomy Name | Acute Care Nurse Practitioner
-----------------------------------------------------
License Number | A003808
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------