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Individual

DR. BILL C KEATING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8301 ROGERS AVENUE, FORT SMITH, AR 72903
(479) 452-1580
(479) 452-6910
Mailing address
PO BOX 10957, FORT SMITH, AR 72917-0957
(479) 452-1580
(479) 452-6910

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2463
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132180722
AR
Enumeration date
09/21/2006
Last updated
06/27/2019
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