Dr. Katherine Moore Keeley
MD | Pediatric Adolescent Medicine | Female
Dr. Katherine Moore Keeley, MD is a Lakewood Ranch, Florida based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Katherine Moore Keeley is
8430 Enterprise Cir, Suite 130, Lakewood Ranch, Florida - 34202-4107. She can be contacted on phone at
941-366-3000 and fax number 941-366-3002.
Dr. Katherine Moore Keeley is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Katherine Moore Keeley is
1073548210 which was assigned by NPPES on 12 Jul, 2006 and it was last updated on 02 Sep, 2015.
Dr. Katherine Moore Keeley license number is
ME57672 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Dr. Katherine Moore Keeley specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Katherine Moore Keeley basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Katherine Moore Keeley |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Katherine Moore Keeley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8430 Enterprise Cir, Suite 130
Lakewood Ranch, FL, 34202-4107
United States |
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| Phone Number : | 941-366-3000 |
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| Fax Number : | 941-366-3002 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073548210 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2006 |
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| Last Updated On : | 02 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katherine Moore Keeley are as mentioned. Primary taxonomy code for Dr. Katherine Moore Keeley, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208600000X | Surgery | No | ME57672 | FL |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME57672 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Katherine Moore Keeley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 622723 | Other | | AETNA |
| 11280 | Other | | BCBS |
| 058451700 | MEDICAID | FL | |
| 33181 | Other | FL | BCBS FLORIDA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 863407
Orlando, FL, 32886-3407
United States |
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| Phone Number : | 941-917-2600 |
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| Fax Number : | 941-917-7884 |
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Business Location:
Patients can refer following map for directions to
Dr. Katherine Moore Keeley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.