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Individual
GERALD E KEIGHTLEY
Active
Individual
GERALD E KEIGHTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101047191
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052647
ANTHEM BLUE CROSS
VA
01
—
202213
CIGNA
VA
01
—
228371
MAMSI
VA
01
—
31247
CARENET
VA
01
—
541497804
TRICARE CHAMPUS
—
01
—
59426
SOUTHERN HEALTH
VA
01
—
597421
AETNA
VA
05
—
6041396
—
VA
Enumeration date
06/23/2005
Last updated
02/05/2026
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