Individual
JAMIE KEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3337
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3337
OPTOMETRY LICENSE
TN
Enumeration date
07/09/2016
Last updated
01/14/2022
Update your record
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