Kealey, Susan

Kealey, Susan is an individual health care provider with primary practice located at 2100 Erwin Rd , Durham NC 27710-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kealey, Susan can be contacted via phone (919) 620-4467.

Contact Information

Primary practice address
2100 Erwin Rd Durham NC 27710-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X North Carolina

Profile Details

NPI number 1962551978
LBN Legal business name Kealey, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Nov 5th, 2007 - about 17 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 1962551978 NPPES
North Carolina MEDICAID 89133WW

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