Individual
PHILLIP M KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 TRIPLE CROWN CT, BOWLING GREEN, KY 42104-8567
(270) 495-1755
Mailing address
130 TRIPLE CROWN CT, BOWLING GREEN, KY 42104-8567
(270) 495-1755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
46624
KY
207Q00000X
Family Medicine Physician
Primary
46624
KY
207R00000X
Internal Medicine Physician
46624
KY
208M00000X
Hospitalist Physician
46624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207P00000X
—
KY
Enumeration date
04/15/2009
Last updated
02/15/2021
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