Richard George Keightley in Phoenix - Pediatric Allergy/immunology

Richard George Keightley - NPI 1568460616

Richard George Keightley is a Pediatric Allergy/immunology in Phoenix, Arizona. Richard George Keightley practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Richard George Keightley is 1568460616. The last update date is 2017-05-09.

Richard George Keightley's current location address is 20940 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 4809911930 and fax number 4804438196. The mailing address for Richard George Keightley is 20940 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard George Keightley
Address 20940 N Tatum Blvd, Phoenix, Arizona
Phone Number 4809911930
Fax Number 4804438196
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1568460616
Provider Enumeration Date 2005-07-12
Last Updated Date 2017-05-09

Provider Mailing Address Detail

Address 20940 N Tatum Blvd
City Phoenix
State Arizona (AZ)
Post Code 850507260
Phone Number 4809911930
Fax Number 4804438196

Provider's Primary Taxonomy Detail

Speciality Pediatric Allergy/immunology
Taxonomy 2080P0201X
Licence No 11856
Definition:
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200027 AZ UHC
200027 AZ UNITED HEALTH CARE
2572627 AZ AETNA HMO
4022160 AZ AETNA PPO
1Z2992 AZ HEALTHNET
AZ0027920 AZ BCBS

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FAQs about Richard George Keightley

What is the unique identifier code issued to Richard George Keightley by the Centers for Medicare & Medicaid Services?

The Richard George Keightley has been assigned the NPI (National Provider Identifier) 1568460616. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Richard George Keightley located?

The Richard George Keightley is located at 20940 N Tatum Blvd, Phoenix, AZ 850507260.

What is Richard George Keightley's area of expertise and its corresponding taxonomy classification?

The Richard George Keightley's field of specialization is Pediatric Allergy/immunology, and it falls under the taxonomy code 2080P0201X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1568460616 to Richard George Keightley?

The Centers for Medicare & Medicaid Services originally issued the 1568460616 to Richard George Keightley on 2005-07-12.

As of what date was the information regarding Richard George Keightley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard George Keightley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-05-09.

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