Individual
KASEY D KEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1031 GEORGIA AVE, BRISTOL, TN 37620-4027
(423) 335-0299
Mailing address
1031 GEORGIA AVE, BRISTOL, TN 37620-4027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004757
VA
363A00000X
Physician Assistant
Primary
3165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020803
—
TN
Enumeration date
10/30/2014
Last updated
10/04/2024
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