Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101043485 | VA |
N | 207YS0123X | Facial Plastic Surgeon | 0101043485 | VA |
NPI | 1700853066 |
---|---|
Provider Name | Stephen D Keefe |
First Address | Newport News, VA 23606-4437 |
Second Address | Newport News, VA 23606-4437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 10/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
184357 | ANTHEM (01) | |
F30325 | (02) | |
P00274985 | MEDICARE RAILROAD (01) |