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Individual
MR. TIMOTHY D KEYES
Active
Individual
MR. TIMOTHY D KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
008055-1
NY
363A00000X
Physician Assistant
Primary
008055
NY
363AS0400X
Surgical Physician Assistant
008005
NY
Other
Enumeration date
07/01/2005
Last updated
11/22/2025
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