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Individual

KELLEY MARIE KEEFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-5851
(502) 852-3762

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301104982
MI
207L00000X
Anesthesiology Physician
Primary
55510
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300052784
IN
05
7100749490
KY
Enumeration date
03/25/2013
Last updated
07/29/2021
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