Keeling, Jonathan Lee

Keeling, Jonathan Lee is an individual health care provider with primary practice located at 120 N Eagle Creek Dr , Lexington KY 40509-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Keeling, Jonathan Lee can be contacted via phone (859) 258-5270.

Contact Information

Primary practice address
120 N Eagle Creek Dr Lexington KY 40509-1827
Fax: (859) 258-5202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS9677 Florida

Profile Details

NPI number 1770605172
LBN Legal business name Keeling, Jonathan Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Mar 28th, 2013 - about 11 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 1770605172 NPPES
Florida Other 11858020 CAQH ID
Florida MEDICAID 000076700 CAQH ID

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