Individual
DUANE LESLIE KEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
517 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3444
(859) 341-5030
(859) 578-7551
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35.083505
OH
207K00000X
Allergy & Immunology Physician
Primary
37692
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708303
MEDICARE PTAN
KY
05
—
64067234
—
KY
Enumeration date
10/26/2005
Last updated
11/01/2023
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