Individual
DR. SHANE DAMIEN O'KEEFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 PARK ST, SUITE 210, BOWLING GREEN, KY 42101-1784
(270) 796-3330
(270) 796-3338
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 796-3330
(270) 796-3338
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
43021
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000779824
BCBS
—
01
—
43021
LICENSE
KY
05
—
7100143600
—
KY
Enumeration date
11/14/2008
Last updated
02/06/2017
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