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Individual

DR. SUSAN KAY KEAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 705-6450
(410) 705-7837
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 705-6450
(410) 705-7837

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D37851
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0209417000
WV
05
036608200
DC
05
1699733295
DE
01
52422002 & 01
BC/BS
MD
05
526341700
MD
05
5852463
VA
Enumeration date
05/03/2006
Last updated
11/15/2010
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