Individual
DANIEL BRUCE KECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 VETERANS CENTER DRIVE, LEXINGTON, KY 40502
(859) 233-4511
Mailing address
LEXINGTON VA HEALTH CARE SYSTEM, 1101 VETERANS DRIVE, LEXINGTON, KY 40502
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
36005
KY
208VP0014X
Interventional Pain Medicine Physician
36005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
05
—
64090475
—
KY
01
—
P00469361
RR MEDICAE PIN
KY
Enumeration date
10/26/2005
Last updated
10/31/2025
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