Provider Demographics
NPI:1851476444
Name:KEIM, REBECCA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LYNN
Last Name:KEIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:319 S MANNING BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1742
Mailing Address - Country:US
Mailing Address - Phone:518-525-5207
Mailing Address - Fax:518-525-5209
Practice Address - Street 1:319 S MANNING BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1742
Practice Address - Country:US
Practice Address - Phone:518-525-5207
Practice Address - Fax:518-525-5209
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-05-11
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Provider Licenses
StateLicense IDTaxonomies
NY262186208600000X
WI47953020208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery