Provider Demographics
NPI:1720136443
Name:KEEL AND ASSOCIATES
Entity Type:Organization
Organization Name:KEEL AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-835-4756
Mailing Address - Street 1:1612 HIGHWAY 78 EAST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203
Mailing Address - Country:US
Mailing Address - Phone:256-835-4756
Mailing Address - Fax:256-831-5736
Practice Address - Street 1:1612 HIGHWAY 78 EAST
Practice Address - Street 2:SUITE 100
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203
Practice Address - Country:US
Practice Address - Phone:256-835-4756
Practice Address - Fax:256-831-5736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000079526Medicaid
AL000079526Medicaid
ALC73430Medicare UPIN
ALG66154Medicare UPIN