Keck, Daniel Bruce

Keck, Daniel Bruce is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Keck, Daniel Bruce can be contacted via phone (859) 258-6101.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504-2701
Phone: (859) 258-6101
Fax: (859) 258-4411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 36005 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 36005 Kentucky

Profile Details

NPI number 1083604573
LBN Legal business name Keck, Daniel Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 21st, 2008 - about 18 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 1083604573 NPPES
Kentucky Other P00469361 RR MEDICAE PIN
Kentucky MEDICAID 64090475 RR MEDICAE PIN
Kentucky Other 4000501 RR MEDICAE PIN
Kentucky Other 37903705 RR MEDICAE PIN

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