Provider Demographics
NPI:1689638470
Name:O'KEEFFE, LYNN ADAMS (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:ADAMS
Last Name:O'KEEFFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 DUTCHMANS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3271
Mailing Address - Country:US
Mailing Address - Phone:502-456-6200
Mailing Address - Fax:502-456-6655
Practice Address - Street 1:6200 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3271
Practice Address - Country:US
Practice Address - Phone:502-456-6200
Practice Address - Fax:502-456-6655
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39726207R00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1361952OtherMEDICARE- NORTON MEDICAL ASSOCIATES
KY000000375057OtherANTHEM- NORTON MEDICAL ASSOCIATES
KY50022054OtherPASSPORT- NORTON MEDICAL ASSOCIATES
KY64109572Medicaid
KY067143OtherSIHO- NORTON MEDICAL ASSOCIATES
KY64109572OtherMEDICAID KENTUCKY- NORTON MEDICAL ASSOCIATES
KY000023025LOtherHUMANA- NORTON MEDICAL ASSOCIATES
IN200540360Medicaid
KY3691856000OtherPASSPORT ADVANTAGE- NORTON MEDICAL ASSOCIATES
KY000023025LOtherHUMANA- NORTON MEDICAL ASSOCIATES
KY64109572Medicaid