Provider Demographics
NPI:1952347304
Name:KEATS, WILLIAM K (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:K
Last Name:KEATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8381 SOUTHPARK LANE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4508
Mailing Address - Country:US
Mailing Address - Phone:303-730-0404
Mailing Address - Fax:303-730-6163
Practice Address - Street 1:8381 SOUTHPARK LANE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4508
Practice Address - Country:US
Practice Address - Phone:303-730-0404
Practice Address - Fax:303-730-6163
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20199207W00000X
KS04-19823207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COB91021Medicare UPIN
C445568Medicare PIN
KS001013Medicare PIN
B91021Medicare UPIN
KS001013Medicare PIN