Dr. Katherine Moore Keeley
Surgeon Adolescent Medicine
8430 Enterprise Cir Suite 130
Lakewood Ranch
, Florida 34202-4107
Dr. Katherine Moore Keeley
Surgeon Adolescent Medicine
8430 Enterprise Cir Suite 130
Lakewood Ranch
, Florida 34202-4107
(941) 917-7884
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About
Features
Specialties
- Adolescent Medicine
- Surgeon
Languages spoken
- English
Location
First Address
- Dr. Katherine Moore Keeley
- Po Box 863407
- Orlando, FL
- Zip : 32886-3407
- Fax : (941) 917-7884
- Phone : (941) 917-2600
Second Address
- Dr. Katherine Moore Keeley
- 8430 Enterprise Cir Suite 130
- Lakewood Ranch, FL
- Zip : 34202-4107
- Fax : (941) 366-3002
- Phone : (941) 366-3000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | ME57672 | FL |
| N | 208200000X | Surgeon | ME57672 | FL |
| N | 208600000X | Surgeon | ME57672 | FL |
National Provider Identifier
| NPI | 1073548210 |
|---|---|
| Provider Name | Dr. Katherine Moore Keeley |
| First Address | Orlando, FL 32886-3407 |
| Second Address | Lakewood Ranch, FL 34202-4107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 02/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 058451700 | (05) | FL |
| 11280 | BCBS (01) | |
| 33181 | BCBS FLORIDA (01) | FL |
| 622723 | AETNA (01) | |
| F99885 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.