Individual
JOHN JEROME KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5990 S UNIVERSITY BLVD, GREENWOOD VILLAGE, CO 80121-2866
(720) 446-5890
Mailing address
5990 S UNIVERSITY BLVD, GREENWOOD VILLAGE, CO 80121-2866
(720) 446-5890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006265
CO
363AM0700X
Medical Physician Assistant
1338
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1764231920
THE FEDERAL MOTOR CARRIER NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS
DC
05
—
231029
—
AL
05
—
231146
—
AL
05
—
231771
—
AL
05
—
231792
—
AL
Enumeration date
01/21/2018
Last updated
07/23/2020
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