DAVID L. KEEDY M.D. NPI 1083630834

NPI Information

NPI: 1083630834
Provider Name: DAVID L. KEEDY, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
1210 W 5TH ST
LONDON, KY
ZIP 40741
Phone: (606) 864-4040
Get Directions

David L. Keedy, M.D. is a cardiovascular disease internal medicine in London, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. David L. Keedy, M.D. NPI is 1083630834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1210 W 5TH ST
LONDON, KY
ZIP 40741-112
Phone: (606) 864-4040
Fax: (606) 864-3500

The NPI 1083630834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 5/2/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	26392	KENTUCKY	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	26392	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4000501	OTHER	KENTUCKY	MEDICARE GROUP NUMBER
2	CB5773	OTHER	GEORGIA	RR MEDICARE GROUP#
3	37903705	OTHER	KENTUCKY	MEDICAID LAB GROUP#
4	4000501	OTHER	KENTUCKY	MEDICARE LAB GROUP#
5	ASC 1019	OTHER	KENTUCKY	ASC MEDICARE GROUP#
6	36000818	OTHER	KENTUCKY	ASC MEDICAID GROUP#
7	060086348	OTHER	GEORGIA	RR MEDICARE PIN#
8	64263924	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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