Keady, Jr, Dwight S

Keady, Jr, Dwight S is an individual health care provider with primary practice located at 213 East Hospital Rd , Philadelphia MS 39350. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Keady, Jr, Dwight S can be contacted via phone (601) 656-6116.

Contact Information

Primary practice address
213 East Hospital Rd Philadelphia MS 39350
Phone: (601) 656-6116
Fax: (601) 781-2363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10775 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 131005 Mississippi

Profile Details

NPI number 1568449536
LBN Legal business name Keady, Jr, Dwight S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 14th, 2016 - about 9 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 1568449536 NPPES
Mississippi Other 830005996 PALMETTO GBA RAILROAD
Mississippi Other CF9149 PALMETTO GBA RAILROAD
Mississippi MEDICAID 00121130 PALMETTO GBA RAILROAD

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