Individual
DR. RICHARD GEORGE KEIGHTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
11856
AZ
2080P0201X
Pediatric Allergy/Immunology Physician
11856
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200027
UHC
AZ
01
—
1Z2992
HEALTHNET
AZ
01
—
2572627
AETNA HMO
AZ
01
—
4022160
AETNA PPO
AZ
01
—
AZ0027920
BCBS
AZ
Enumeration date
07/12/2005
Last updated
05/09/2017
Update your record
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