MEDICARE: RALPH KEILL MD

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	208600000X	Surgery Physician	C27407	CA

General Provider Information

NPI Number	:	1619970217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH KEILL MD

Provider Business Mailing Address
First Line	:	PO BOX 2300
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93902-2300
Country	:	US
Telephone Number	:	831-622-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 WOODSIDE PL
Second Line	:
City	:	CARMEL VALLEY
State	:	CA
Zip	:	93924-9545
Country	:	US
Telephone Number	:	831-659-5124
Fax Number	:

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	06/03/2016

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