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Contact Information

RICHARD G KEIGHTLEY, MD
20940 N TATUM BLVD
STE 205
PHOENIX, AZ85050-7260
 Phone: 480-991-1930
 Fax: 480-443-8196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RICHARD G KEIGHTLEY · (Male)

NPI # 1568460616
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2005
Last updated 05/09/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11856
  • AZ Other 2572627 AETNA HMO
  • AZ Other 4022160 AETNA PPO
  • AZ Other AZ0027920 BCBS
  • AZ Other 1Z2992 HEALTHNET
  • AZ Other 0200027 UHC
  • AZ Other 0200027 UNITED HEALTH CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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