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DR. MARK DAVID KEELE DC NPI 1659413193


NPI Information

NPI: 1659413193
Provider Name: DR. MARK DAVID KEELE, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
4011 TAYLOR BLVD
LOUISVILLE, KY
ZIP 40215
Phone: (502) 367-7114
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DR. Mark David Keele, DC is a chiropractor in Louisville, KY with 32 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Mark David Keele, DC NPI is 1659413193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:1992

The provider's business location address is:

4011 TAYLOR BLVD
LOUISVILLE, KY
ZIP 40215-542
Phone: (502) 367-7114
Fax: (502) 367-7108

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4197KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U40858MEDICARE UPINKENTUCKY
21121409OTHERKENTUCKYPASSPORT
36065801MEDICARE PINKENTUCKY
4000000051682OTHERKENTUCKYANTHEM BCBS
585041978MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.