Individual
COLLEEN KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2815 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-3258
(319) 221-8695
(319) 369-9917
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30017
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5097105
—
IA
Enumeration date
02/27/2006
Last updated
10/25/2007
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