Organization
KEELEY PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK NIMUBONA (SUPERVISOR)
(917) 671-9402
Entity
Organization
Contact information
Practice address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(186) 439-9383
Mailing address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(186) 439-9383
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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