Individual
JEFFREY THOMAS KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23625 HOLMAN HWY, MONTEREY, CA 93940-5902
(831) 624-5311
(831) 625-4948
Mailing address
PO BOX HH, BUSINESS DEVELOPMENT & CONTRACTING, MONTEREY, CA 93942
(831) 622-2716
(831) 625-4764
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A74801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A748010
BLUE SHIELD
CA
01
—
220032939
RAILROAD
CA
Enumeration date
08/02/2006
Last updated
07/02/2014
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