Provider Demographics
NPI:1710913322
Name:KEYES, ALAN (MD, FACS)
Entity Type:Individual
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First Name:ALAN
Middle Name:
Last Name:KEYES
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:500 INDEPENDENCE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5187
Mailing Address - Country:US
Mailing Address - Phone:757-547-9714
Mailing Address - Fax:757-547-0725
Practice Address - Street 1:500 INDEPENDENCE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5187
Practice Address - Country:US
Practice Address - Phone:757-547-9714
Practice Address - Fax:757-547-0725
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2011-06-29
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Provider Licenses
StateLicense IDTaxonomies
VA0101044375207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G89383Medicare UPIN