Individual
BRAD KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7690 NEW MARKET CENTER WAY, COLUMBUS, OH 43235-1976
(740) 497-8674
Mailing address
1040 SUNSHINE ST, CIRCLEVILLE, OH 43113-1351
(740) 497-8674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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