Individual
MR. TIMOTHY PAUL KEILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCO
Contact information
Practice address
-2 WRAMC SUITE 3H, 6900 GEORGIA AVE. NW, WASHINGTON, DC 20307-0001
(202) 782-6385
(202) 782-9080
Mailing address
7807 LELAND RD, MANASSAS, VA 20111-1944
(703) 369-2044
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
C22227
MD
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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