Organization
KEITHLEY FAMILY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY KEITHLEY D.O. (CEO)
(256) 881-7579
Entity
Organization
Contact information
Practice address
8210 STEPHANIE DR SW, SUITE A, HUNTSVILLE, AL 35802-3000
(256) 881-7579
(256) 881-7580
Mailing address
8210 STEPHANIE DR SW, SUITE A, HUNTSVILLE, AL 35802-3000
(256) 881-7579
(256) 881-7580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO411
AL
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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