Keysor, Matthew Richard

Keysor, Matthew Richard is an individual health care provider with primary practice located at 310 W Losey St , Scott Afb IL 62225-5250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Keysor, Matthew Richard can be contacted via phone (618) 256-9355.

Contact Information

Primary practice address
310 W Losey St Scott Afb IL 62225-5250
Phone: (618) 256-9355
Fax: (618) 256-7640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01058375A Indiana

Profile Details

NPI number 1306827050
LBN Legal business name Keysor, Matthew Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 22nd, 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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