Provider Demographics
NPI:1801201751
Name:KEEL, KATHERINE KASMER (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:KASMER
Last Name:KEEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:LILLIAN
Other - Last Name:KASMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1630 SE 18TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5471
Mailing Address - Country:US
Mailing Address - Phone:352-512-0092
Mailing Address - Fax:352-512-0093
Practice Address - Street 1:1630 SE 18TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5471
Practice Address - Country:US
Practice Address - Phone:352-512-0092
Practice Address - Fax:352-512-0093
Is Sole Proprietor?:No
Enumeration Date:2014-06-29
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9343150363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner