Individual
TERRI L KEEGSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34007060
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
34007060
OH
207LP3000X
Pediatric Anesthesiology Physician
34007060
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137879
—
OH
Enumeration date
05/31/2006
Last updated
02/16/2012
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