Provider Demographics
NPI:1386647691
Name:KEH, RICHARD ANTHONY (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANTHONY
Last Name:KEH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 CAMDEN ST STE 309
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-2013
Mailing Address - Country:US
Mailing Address - Phone:210-225-8882
Mailing Address - Fax:210-225-8987
Practice Address - Street 1:311 CAMDEN ST STE 309
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-2013
Practice Address - Country:US
Practice Address - Phone:210-225-8882
Practice Address - Fax:210-225-8987
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1137213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127202302Medicaid
TX82Y021Medicare PIN
TX0837530001Medicare NSC
TXU05473Medicare UPIN