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Individual
VINCENT P KEATING
Active
Individual
VINCENT P KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34760
AZ
207RC0000X
Cardiovascular Disease Physician
01072455A
IN
207RC0000X
Cardiovascular Disease Physician
51704-20
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01072455A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
51704-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201153640
—
IN
01
—
P01222133
RR MEDICARE PTAN
IN
Enumeration date
02/27/2006
Last updated
06/11/2021
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