Provider Demographics
NPI:1467194928
Name:KEELE, LACEE (ARDMS, RT)
Entity Type:Individual
Prefix:
First Name:LACEE
Middle Name:
Last Name:KEELE
Suffix:
Gender:F
Credentials:ARDMS, RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 S BENTLEY BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-1822
Mailing Address - Country:US
Mailing Address - Phone:435-708-0145
Mailing Address - Fax:
Practice Address - Street 1:1156 S BENTLEY BLVD STE 1
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-1822
Practice Address - Country:US
Practice Address - Phone:435-708-0145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography