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Contact Information

KYLE J KEELEY, PT
2206-B WEST MAIN
HWY 82
CLARKSVILLE, TX75426
 Phone: 903-427-1545
 Fax: 903-427-0078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KYLE J KEELEY · (Male)

NPI # 1922048693
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/08/2006
Last updated 04/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2640
  • TX License # 1040384
  • OK Medicaid 100675670B
  • TX Medicaid 058545701
  • Other 5385104 AETNA PROVIDER NUMBER
  • Other 120502 SUPERIOR PROVIDER NUMBER
  • TX Other 80812T BCBS PROVIDER NUMBER
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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