Provider Demographics
NPI:1831953751
Name:KEO, PIAR CHRIS
Entity type:Individual
Prefix:MR
First Name:PIAR
Middle Name:CHRIS
Last Name:KEO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 E DICKENS RD
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-1419
Mailing Address - Country:US
Mailing Address - Phone:267-240-4509
Mailing Address - Fax:
Practice Address - Street 1:2540 S 6TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-4623
Practice Address - Country:US
Practice Address - Phone:267-240-4509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care