Individual
KIMBERLY ANN KEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7000
Mailing address
7520 WOODLAND DR, PASS CHRISTIAN, MS 39571-4471
(985) 273-8015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901488
MS
367500000X
Certified Registered Nurse Anesthetist
RN072659
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569755
—
LA
01
—
430057274
RR MEDICARE NUMBER
—
Enumeration date
04/13/2006
Last updated
07/16/2025
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