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Individual

TARA K KEESEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
02188
IA
152W00000X
Optometrist
046009288
IL
152W00000X
Optometrist
Primary
OPT.0004011
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0225540
IA
01
23999
BCBS
IA
Enumeration date
07/09/2006
Last updated
10/03/2024
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