Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | D0037458 | MD |
NPI | 1144263146 |
---|---|
Provider Name | Dr. Timothy J Keay |
First Address | Baltimore, MD 21264-4380 |
Second Address | Baltimore, MD 21201-1771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 04/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D71545 | (02) | MD |