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NPI Code Detail

MEDICARE: STEPHEN D KEEFE MD

MEDICARE:   STEPHEN D KEEFE  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
1207YS0123XFacial Plastic Surgery Physician0101043485VA
2207Y00000XOtolaryngology Physician0101043485VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00274985OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1184357OTHERANTHEM

General Provider Information

NPI Number : 1700853066
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN D KEEFE MD
Provider Business Mailing Address
First Line : 11842 ROCK LANDING DR STE 100
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-4437
Country : US
Telephone Number : 757-873-0338
Fax Number : 866-283-1052
Provider Business Practice Location Address
First Line : 11842 ROCK LANDING DR STE 100
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-4437
Country : US
Telephone Number : 757-873-0338
Fax Number : 866-283-1052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 03/10/2020

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Directions to “ STEPHEN D KEEFE MD” Practice Location

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