Individual
REBECCA C KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 350-0832
(440) 579-0191
Mailing address
7757 AUBURN RD, SUITE 15, PAINESVILLE, OH 44077-9609
(440) 350-0832
(440) 354-7420
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000259
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140212
—
OH
Enumeration date
05/14/2015
Last updated
03/31/2020
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