Provider Demographics
NPI:1164398194
Name:KEELING, KEYSHIRA MONEE
Entity type:Individual
Prefix:
First Name:KEYSHIRA
Middle Name:MONEE
Last Name:KEELING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 KUHN DR UNIT 211423
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-8058
Mailing Address - Country:US
Mailing Address - Phone:619-392-4485
Mailing Address - Fax:
Practice Address - Street 1:2158 BLUESTONE CIR
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-4001
Practice Address - Country:US
Practice Address - Phone:619-392-4485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker