Provider Demographics
NPI:1760726517
Name:ROBERT C KEELEY MD
Entity Type:Organization
Organization Name:ROBERT C KEELEY MD
Other - Org Name:PULMONARY MEDICINE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:KEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-342-6701
Mailing Address - Street 1:1315 2ND ST SW
Mailing Address - Street 2:STE 101
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4944
Mailing Address - Country:US
Mailing Address - Phone:540-342-6701
Mailing Address - Fax:540-342-6172
Practice Address - Street 1:1315 2ND ST SW
Practice Address - Street 2:STE 101
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4944
Practice Address - Country:US
Practice Address - Phone:540-342-6701
Practice Address - Fax:540-342-6172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-18
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty