Individual
GERALD P KEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3221
(319) 356-3392
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3221
(319) 356-3392
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
18208
IA
2086S0127X
Trauma Surgery Physician
18208
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136762
—
IA
01
—
13676
WELLMARK BCBS
IA
Enumeration date
09/01/2005
Last updated
12/11/2007
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