Keeley, Kyle J
Keeley, Kyle J is an individual health care provider with primary practice located at 2206-B West Main Hwy 82, Clarksville TX 75426. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Keeley, Kyle J can be contacted via phone (903) 427-1545.Contact Information
Primary practice address
2206-B West Main Hwy 82
Clarksville TX 75426
Phone: (903) 427-1545
Fax: (903) 427-0078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1040384 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2640 | Oklahoma |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 1040384 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1040384 | Texas |
Profile Details
| NPI number | 1922048693 |
|---|---|
| LBN Legal business name | Keeley, Kyle J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Apr 4th, 2016 - about 8 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 | 1922048693 | NPPES |
| Texas | MEDICAID | 058545701 | |
| Texas | Other | 80812T | |
| Texas | Other | 120502 | |
| Texas | MEDICAID | 100675670B | |
| Texas | Other | 5385104 |
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