Keightley, Richard George
Keightley, Richard George is an sole proprietor health care provider with primary practice located at 20940 N Tatum Blvd Ste 205, Phoenix AZ 85050-7260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Keightley, Richard George can be contacted via phone (480) 991-1930.Contact Information
Primary practice address
20940 N Tatum Blvd Ste 205
Phoenix AZ 85050-7260
Phone: (480) 991-1930
Fax: (480) 443-8196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 11856 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 11856 | Arizona |
Profile Details
| NPI number | 1568460616 |
|---|---|
| LBN Legal business name | Keightley, Richard George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | May 9th, 2017 - about 9 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 | 1568460616 | NPPES |
| Arizona | Other | 0200027 | UHC |
| Arizona | Other | 0200027 | UHC |
| Arizona | Other | 2572627 | UHC |
| Arizona | Other | 4022160 | UHC |
| Arizona | Other | 1Z2992 | UHC |
| Arizona | Other | AZ0027920 | UHC |
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