Individual provider · Type 1 NPI

Kathleen Keithley, PA-C

Medical Physician Assistant · Belleville, IL

NPI number 1760457352 Active

Practice location

340 W Lincoln St
Belleville, IL 62220-1900

Fax (618) 233-3287

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2003029518 (MO)
Medical Physician Assistant Primary 363AM0700X085-002555 (IL)

Medical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1760457352

Kathleen Keithley, PA-C's National Provider Identifier is 1760457352, issued on Feb 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Belleville, IL. The record was last updated on Nov 5, 2007.