Keedy, David L.
Keedy, David L. is an individual health care provider with primary practice located at 1210 W 5Th St , London KY 40741-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Keedy, David L. can be contacted via phone (606) 864-4040.Contact Information
Primary practice address
1210 W 5Th St
London KY 40741-2112
Phone: (606) 864-4040
Fax: (606) 864-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 26392 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 26392 | Kentucky |
Profile Details
| NPI number | 1083630834 |
|---|---|
| LBN Legal business name | Keedy, David L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | May 2nd, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083630834 | NPPES |
| Kentucky | Other | 4000501 | MEDICARE GROUP NUMBER |
| Kentucky | Other | 36000818 | MEDICARE GROUP NUMBER |
| Kentucky | MEDICAID | 64263924 | MEDICARE GROUP NUMBER |
| Kentucky | Other | CB5773 | MEDICARE GROUP NUMBER |
| Kentucky | Other | 37903705 | MEDICARE GROUP NUMBER |
| Kentucky | Other | 4000501 | MEDICARE GROUP NUMBER |
| Kentucky | Other | 060086348 | MEDICARE GROUP NUMBER |
| Kentucky | Other | ASC 1019 | MEDICARE GROUP NUMBER |
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