Individual
AUREL KEEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
27 CREEKVIEW COURT, GREENVILLE, SC 29615-4800
(864) 627-4032
Mailing address
301 RAVEN RD, GREENVILLE, SC 29615
(864) 627-4032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A561
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00142088
RAILROAD MEDICARE
SC
Enumeration date
11/22/2005
Last updated
05/16/2008
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