Keeley, Ellen Catherine

Keeley, Ellen Catherine is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100277 , Gainesville FL 32610-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as her primary health care specialty. Keeley, Ellen Catherine can be contacted via phone (352) 273-9065.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100277 Gainesville FL 32610-0001
Phone: (352) 273-9065
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101240407 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME132481 Florida

Profile Details

NPI number 1013972835
LBN Legal business name Keeley, Ellen Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 21st, 2022 - about 4 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 1013972835 NPPES
Florida MEDICAID 021330500
Florida MEDICAID 1013972835
Florida Other JA340Z
Florida MEDICAID 100624902

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