Keeley, Phillip M

Keeley, Phillip M is an individual health care provider with primary practice located at 130 Triple Crown Ct , Bowling Green KY 42104-8567. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Keeley, Phillip M can be contacted via phone (270) 495-1755.

Contact Information

Primary practice address
130 Triple Crown Ct Bowling Green KY 42104-8567
Phone: (270) 495-1755
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46624 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46624 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 46624 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46624 Kentucky

Profile Details

NPI number 1417190703
LBN Legal business name Keeley, Phillip M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Feb 15th, 2021 - about 5 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 1417190703 NPPES
Kentucky MEDICAID 207P00000X

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