Individual
KEVIN THOMAS KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12651 WHITEHALL DR, FORT MYERS, FL 33907-3626
(239) 424-2030
(239) 343-4117
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2030
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS21352
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123680600
—
FL
Enumeration date
04/11/2019
Last updated
09/11/2024
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