Individual
JON A. KEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 W MAIN ST, SUITE 11, TRAPPE, PA 19426
(610) 489-9374
(610) 489-6418
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD048414L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015091240007
—
PA
01
—
0331154000
AMERIHEALTH/INTERCOUNTY
PA
01
—
0696535
CIGNA HMO/PPO
PA
01
—
080184959
RRM
PA
01
—
11025245
CAQH ID#
PA
01
—
11045632
MULTIPLAN
PA
01
—
1164062
KEYSTONE MERCY
PA
01
—
163035
HIGHMARK BLUE SHIELD
PA
01
—
2125273
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
3224116
AETNA HMO
PA
01
—
4291748
AETNA PPO
PA
Enumeration date
06/16/2006
Last updated
06/08/2018
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