Keadle, David M

Keadle, David M is an individual health care provider with primary practice located at 5221 Us Route 60 E , Huntington WV 25705-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Keadle, David M can be contacted via phone (304) 522-1550.

Contact Information

Primary practice address
5221 Us Route 60 E Huntington WV 25705-2022
Phone: (304) 522-1550
Fax: (304) 522-0704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20828 West Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X TP155 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35086553 Ohio

Profile Details

NPI number 1558346858
LBN Legal business name Keadle, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 8th, 2010 - about 15 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 1558346858 NPPES
Kentucky Other 50007261 PASSPORT
Kentucky Other 7738308 PASSPORT
Kentucky Other P00255847 PASSPORT
Kentucky MEDICAID 2575459 PASSPORT
Kentucky MEDICAID 6410045600 PASSPORT
Kentucky Other 55049337600 PASSPORT
Kentucky Other 001718787 PASSPORT
Kentucky Other 000000196626 PASSPORT
Kentucky MEDICAID 3810002472 PASSPORT

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