David L Keedy, MD | |
1210 W 5th St, London, KY 40741-2112 | |
(606) 864-4040 | |
(606) 864-3500 |
Full Name | David L Keedy |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1210 W 5th St, London, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083630834 | NPI | - | NPPES |
4000501 | Other | KY | MEDICARE GROUP NUMBER |
36000818 | Other | KY | ASC MEDICAID GROUP# |
64263924 | Medicaid | KY | |
CB5773 | Other | GA | RR MEDICARE GROUP# |
37903705 | Other | KY | MEDICAID LAB GROUP# |
4000501 | Other | KY | MEDICARE LAB GROUP# |
060086348 | Other | GA | RR MEDICARE PIN# |
ASC 1019 | Other | KY | ASC MEDICARE GROUP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 26392 (Kentucky) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 26392 (Kentucky) | Primary |
Entity Name | Owensboro Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
Mailing Address | Practice Location Address |
---|---|
David L Keedy, MD Po Box 936, London, KY 40743-0936 Ph: (606) 330-7840 | David L Keedy, MD 1210 W 5th St, London, KY 40741-2112 Ph: (606) 864-4040 |
Dr. Muhammad A Niazi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 165 London Mountain View Drive, London, KY 40741 Phone: 606-330-7900 Fax: 606-330-7905 | |
Jeremie Hays, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6533 Fax: 606-330-9536 | |
Mr. Mclean Johnson Romain, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 Fax: 606-330-6536 | |
Anne L. Douglas, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 803 Meyers Baker Rd, Ste 200, London, KY 40741 Phone: 606-878-3240 Fax: 606-878-4308 | |
Dr. Arif Khan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2645 N Laurel Rd, London, KY 40741 Phone: 606-843-6195 Fax: 606-843-6222 | |
Seyed Kamran Hejazi Kenari, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1025 Saint Joseph Ln, London, KY 40741 Phone: 606-864-4030 Fax: 606-864-0115 |