MEDICARE: DR. COURTNEY ERIN KEEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	57.028254	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588012983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY ERIN KEEL M.D.

Provider Business Mailing Address
First Line	:	2213 CHERRY ST
Second Line	:	1ST FLOOR AMBULATORY CARE CENTER
City	:	TOLEDO
State	:	OH
Zip	:	43608-2603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2213 CHERRY ST
Second Line	:	1ST FLOOR AMBULATORY CARE CENTER
City	:	TOLEDO
State	:	OH
Zip	:	43608-2603
Country	:	US
Telephone Number	:	419-251-4724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2016
Last Update Date	:	05/03/2026

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Directions to “ DR. COURTNEY ERIN KEEL M.D.” Practice Location

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