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Individual

DR. KERRY A KEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
61 MAPLE AVE, WHITE PLAINS, NY 10601-5106
(914) 948-5157
(914) 948-3763
Mailing address
61 MAPLE AVE, WHITE PLAINS, NY 10601-5106
(914) 948-5157
(914) 948-3763

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1221
NH
152W00000X
Optometrist
Primary
T005660
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11-3516244
PRIVATE HEALTH CARE SYSTM
NY
01
2055324
UNITED HEALTH CARE
NY
01
2285981
AETNA
NY
01
3C1832803353
HEALTHNET
NY
01
410045556
RAILROAD MEDICARE
NY
01
5620587
AETNA
NY
01
P912488
OXFORD
NY
Enumeration date
01/02/2007
Last updated
02/20/2025
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