Provider Demographics
NPI:1215018080
Name:KEEFE, DEBORAH L (PA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:KEEFE
Suffix:
Gender:F
Credentials:PA
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Other - Last Name:
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Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:HOSPITALIST DEPARTMENT
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-837-8905
Mailing Address - Fax:760-837-8956
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:HOSPITALIST DEPARTMENT
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-837-8905
Practice Address - Fax:760-837-8956
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA16121363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant