Provider Demographics
NPI:1851379366
Name:KEEL, EMILY K (PA-C)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:K
Last Name:KEEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:252-744-3253
Mailing Address - Fax:252-744-3194
Practice Address - Street 1:2380 ARLINGTON BLVD
Practice Address - Street 2:EMERGENCY MEDICINE
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-744-0100
Practice Address - Fax:252-744-0128
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC100103363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC970015611OtherRAILROAD MEDICARE
NC2752944Medicare ID - Type Unspecified
NC970015611OtherRAILROAD MEDICARE