Individual
JOHN KEITH MCKELVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
616 19TH ST, COLUMBUS, GA 31901-1528
(706) 494-4262
Mailing address
5000 OLD BUNCOMBE RD, PMB327, GREENVILLE, SC 29617-8208
(864) 616-0026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
055865
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177011783A
—
GA
05
—
177011783B
—
GA
Enumeration date
05/19/2006
Last updated
03/23/2012
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