Keatley, Tearsa R.

Keatley, Tearsa R. is an individual health care provider with primary practice located at 176 Medical Center Dr , Rainelle WV 25962-1064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Keatley, Tearsa R. can be contacted via phone (304) 438-6188.

Contact Information

Primary practice address
176 Medical Center Dr Rainelle WV 25962-1064
Phone: (304) 438-6188
Fax: (304) 438-6819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1366748196
LBN Legal business name Keatley, Tearsa R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2011
Last updated Mar 1st, 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 1366748196 NPPES
West Virginia MEDICAID 3810028103

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