Individual
JOSEPH T KEELEN JR.
Active
Individual
JOSEPH T KEELEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0002593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292205300
—
FL
01
—
970026904
RR MEDICARE
FL
Enumeration date
10/07/2005
Last updated
10/09/2009
Update your record
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