Keck, Jeffrey P
Keck, Jeffrey P is an individual health care provider with primary practice located at 1701 Lacey St , Cape Girardeau MO 63701-5230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Keck, Jeffrey P can be contacted via phone (573) 334-4822.Contact Information
Primary practice address
1701 Lacey St
Cape Girardeau MO 63701-5230
Phone: (573) 334-4822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 049765 | Georgia |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 049765 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 43374 | Kentucky |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2012004815 | Missouri |
Profile Details
| NPI number | 1467422113 |
|---|---|
| LBN Legal business name | Keck, Jeffrey P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Apr 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467422113 | NPPES |
| Kentucky | MEDICAID | 7100115960 |
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