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NPI Code Detail

MEDICARE: MR. EDWARD W. KEELS M.A. CCC-A, FAAA

MEDICARE:  MR. EDWARD W. KEELS  M.A. CCC-A, FAAA
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
1231H00000XAudiologistAT0002281PA
2231H00000XAudiologist41YA00045200NJ

General Provider Information

NPI Number : 1992703599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD W. KEELS M.A. CCC-A, FAAA
Provider Business Mailing Address
First Line : 1920 CHESTNUT ST
Second Line : SUITE 200
City : PHILADELPHIA
State : PA
Zip : 19103-4634
Country : US
Telephone Number : 215-561-0550
Fax Number : 215-561-1235
Provider Business Practice Location Address
First Line : 1920 CHESTNUT ST
Second Line : SUITE 200
City : PHILADELPHIA
State : PA
Zip : 19103-4634
Country : US
Telephone Number : 215-561-0550
Fax Number : 215-561-1235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/07/2008

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Directions to “ MR. EDWARD W. KEELS M.A. CCC-A, FAAA” Practice Location

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