Individual
DR. SHANE DAMIEN O'KEEFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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