Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | D41222 | MD |
NPI | 1013305663 |
---|---|
Provider Name | Patricia Keegan |
First Address | Silver Spring, MD 20903-1058 |
Second Address | Silver Spring, MD 20903-1058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2015 |
Last Update Date | 06/01/2015 |