# KEELEY PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043802127
- **Authorized official:** PATRICK NIMUBONA (SUPERVISOR)
- **Authorized official phone:** (917) 671-9402

## Contact information

- **Practice address:** 5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
- **Practice address phone:** (186) 439-9383
- **Mailing address:** 5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
- **Mailing address phone:** (186) 439-9383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 02/09/2021