Provider Demographics
NPI:1619118262
Name:O'KEEFE, KELLEY JEAN
Entity Type:Individual
Prefix:MS
First Name:KELLEY
Middle Name:JEAN
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KELLEY
Other - Middle Name:JEAN
Other - Last Name:O'KEEFE-TAICO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2245 BACON ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2021
Mailing Address - Country:US
Mailing Address - Phone:925-827-3857
Mailing Address - Fax:925-827-4104
Practice Address - Street 1:2245 BACON ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2021
Practice Address - Country:US
Practice Address - Phone:925-827-3857
Practice Address - Fax:925-827-4104
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health