Wesley, Keea M

Wesley, Keea M is an individual health care provider with primary practice located at 516 East Nizhoni Blvd. , Gallup NM 87301-1337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wesley, Keea M can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 East Nizhoni Blvd. Gallup NM 87301-1337
Fax: (505) 722-1268
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301091320 Michigan

Profile Details

NPI number 1821275819
LBN Legal business name Wesley, Keea M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Mar 2nd, 2017 - about 7 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 1821275819 NPPES
Michigan Other KW091320 4301091320

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