Individual
ELLEN CATHERINE KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD BOX 100277, GAINESVILLE, FL 32610-0001
(352) 273-9065
Mailing address
PO BOX 100277, GAINESVILLE, FL 32610-0277
(352) 273-9065
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
0101240407
VA
207RI0011X
Interventional Cardiology Physician
Primary
ME132481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021330500
—
FL
05
—
100624902
—
TX
05
—
1013972835
—
VA
01
—
JA340Z
MEDICARE
FL
Enumeration date
04/18/2006
Last updated
07/21/2022
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