MEDICARE: DONALD KEELS RN

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	163WH0200X	Home Health Registered Nurse	RN.432363	OH

General Provider Information

NPI Number	:	1619740420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD KEELS RN

Provider Business Mailing Address
First Line	:	10 JONES ST
Second Line	:
City	:	JACKSON
State	:	OH
Zip	:	45640-1216
Country	:	US
Telephone Number	:	740-418-0697
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 JONES ST
Second Line	:
City	:	JACKSON
State	:	OH
Zip	:	45640-1216
Country	:	US
Telephone Number	:	740-418-0697
Fax Number	:

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

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	10/22/2025

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