Individual
DR. JONATHAN LEE KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 N EAGLE CREEK DR, LEXINGTON, KY 40509-1827
(859) 258-5270
(859) 258-5202
Mailing address
120 N EAGLE CREEK DR, STE 360, LEXINGTON, KY 40509-1827
(859) 258-5270
(859) 258-5202
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS9677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000076700
—
FL
01
—
11858020
CAQH ID
FL
Enumeration date
04/04/2007
Last updated
03/28/2013
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