Provider Demographics
NPI:1811001274
Name:KEECH, KATHERINE GC (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:GC
Last Name:KEECH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF ANESTHESIA
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2633
Mailing Address - Fax:319-356-2940
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF ANESTHESIA
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2633
Practice Address - Fax:319-356-2940
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011019229207L00000X, 207LP3000X
IA40973207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR188592001Medicaid
KY7100204830Medicaid
IA1811001274Medicaid
MO101740082Medicaid
IL$$$$$$$$$Medicaid
MO101740082Medicare PIN