Individual
MARK S KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1439 GROVE RD, CHARLOTTESVILLE, VA 22901-3155
(434) 296-9209
Mailing address
1439 GROVE ROAD, CHARLOTTESVILLE, VA 22901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101053079
VA
Other
Enumeration date
06/21/2006
Last updated
01/23/2018
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