Keating, Kevin Thomas

Keating, Kevin Thomas is an individual health care provider with primary practice located at 12651 Whitehall Dr , Fort Myers FL 33907-3626. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Keating, Kevin Thomas can be contacted via phone (239) 424-2030.

Contact Information

Primary practice address
12651 Whitehall Dr Fort Myers FL 33907-3626
Phone: (239) 424-2030
Fax: (239) 343-4117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X OS21352 Florida

Profile Details

NPI number 1669935094
LBN Legal business name Keating, Kevin Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2019
Last updated Sep 11th, 2024 - about 2 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 1669935094 NPPES
Florida MEDICAID 123680600

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