Individual
DR. JOHN JOSEPH KEEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
116 BROWN AVE, KINGWOOD, WV 26537-1402
(304) 329-3932
Mailing address
116 BROWN AVE, KINGWOOD, WV 26537-1402
(304) 320-3932
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
13265
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00057255000
—
WV
01
—
13265
STATE LICENSE NUMBER
WV
Enumeration date
08/05/2006
Last updated
01/24/2012
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