Individual
CAROL W KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0470
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R177914
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741507900
—
MD
Enumeration date
09/05/2014
Last updated
11/06/2023
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