Keavey, Sandra M

Keavey, Sandra M is an individual health care provider with primary practice located at 32605 W 12 Mile Rd Ste 195 , Farmington Hills MI 48334-3390. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Keavey, Sandra M can be contacted via phone (313) 306-2023.

Contact Information

Primary practice address
32605 W 12 Mile Rd Ste 195 Farmington Hills MI 48334-3390
Phone: (313) 306-2023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601001357 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03212 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60467722 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60467722 Washington

Profile Details

NPI number 1215932702
LBN Legal business name Keavey, Sandra M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 15th, 2022 - about 2 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 1215932702 NPPES
Michigan Other SK001357 STATE LICENSE
Michigan Other 0010-03212 STATE LICENSE
Michigan Other N98340001 STATE LICENSE

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