Keddy, Shayne S

Keddy, Shayne S is an individual health care provider with primary practice located at 24 Southtowne Dr , Potosi MO 63664-5729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Keddy, Shayne S can be contacted via phone (573) 438-3737.

Contact Information

Primary practice address
24 Southtowne Dr Potosi MO 63664-5729
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2001016005 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2001016005 Missouri

Profile Details

NPI number 1861465627
LBN Legal business name Keddy, Shayne S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 17th, 2014 - about 10 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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