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NPI Code Detail

MEDICARE: KYLA KEEFE

MEDICARE: KYLA KEEFE
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
1225100000XPhysical Therapist27676MD

General Provider Information

NPI Number : 1972154532
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLA KEEFE
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE FL 2
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-2700
Fax Number : 410-933-1390
Provider Business Practice Location Address
First Line : 10803 FALLS RD
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-4518
Country : US
Telephone Number : 410-583-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 12/27/2024

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Directions to “ KYLA KEEFE ” Practice Location

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