Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 044552 | CT |
N | 207V00000X | Obstetrician & Gynecologist | 056113 | GA |
NPI | 1023050390 |
---|---|
Provider Name | Dr. Kara Greenleat Keeton |
First Address | South Windsor, CT 06074-2000 |
Second Address | South Windsor, CT 06074-2000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 29/03/2011 |