Hickey, Keith Gregory

Hickey, Keith Gregory is an individual health care provider with primary practice located at 1810 Lindberg Dr Ste 2100 , Slidell LA 70458-8064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hickey, Keith Gregory can be contacted via phone (985) 649-2700.

Contact Information

Primary practice address
1810 Lindberg Dr Ste 2100 Slidell LA 70458-8064
Fax: (985) 649-8488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 13878R Louisiana

Profile Details

NPI number 1538100078
LBN Legal business name Hickey, Keith Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538100078 NPPES
Louisiana MEDICAID 1101745

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