Individual
GARY R KEILSON
Active
Individual
GARY R KEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
74084
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
ONE HEALTH PLAN
—
01
—
0500193
EVERCARE
—
01
—
130015211
RAILROAD MEDICARE
—
01
—
1700170
CIGNA PAL ID
—
01
—
29203
CHILDRENS MEDICAL SECURIT
—
01
—
3118649
MEDICAID WELFARE
—
01
—
5845001
AETNA US HEALTHCARE
—
01
—
784035
MVP HEALTH CARE
—
01
—
917831
FIRST HEALTH
—
01
—
9900842
FALLON COMMUNITY HEALTH P
—
01
—
AA3016
HARVARD PILGRIM HEALTHCAR
—
01
—
J14372
BLUE CARE ELECT
—
Enumeration date
11/04/2005
Last updated
05/02/2011
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