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Individual

GERALD E KEIGHTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7501 RIGHT FLANK RD STE 600, MECHANICSVILLE, VA 23116-3863
(804) 559-6980
(804) 559-6982
Mailing address
7501 RIGHT FLANK RD STE 600, MECHANICSVILLE, VA 23116-3863
(804) 559-6980
(804) 559-6982

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101047191
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052647
ANTHEM BLUE CROSS
VA
01
202213
CIGNA
VA
01
228371
MAMSI
VA
01
31247
CARENET
VA
01
541497804
TRICARE CHAMPUS
01
59426
SOUTHERN HEALTH
VA
01
597421
AETNA
VA
05
6041396
VA
Enumeration date
06/23/2005
Last updated
02/05/2026
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