Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0063249 | MD |
NPI | 1689861106 |
---|---|
Provider Name | Dr. John Joseph Keeling |
First Address | Chevy Chase, MD 20815-5803 |
Second Address | Chevy Chase, MD 20815-5803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2007 |
Last Update Date | 25/03/2017 |