Individual
DR. AMY LYNN KEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 N MCKINNEY ST STE B, SWEENY, TX 77480-2808
(979) 548-1875
(979) 548-1873
Mailing address
303 N MCKINNEY ST STE B, SWEENY, TX 77480-2808
(979) 548-1875
(979) 548-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H4099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097553402
—
TX
05
—
097553406
—
TX
01
—
110129980
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
83Y419
BC/BS TX#
TX
01
—
8DE532
BC/BS #
TX
Enumeration date
04/11/2006
Last updated
10/14/2020
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