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SHAWN KEAHEY DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1811089030
Individual Registrant: SHAWN KEAHEY DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1608B GILMER AVENUE TALLASSEE, AL 36078 US
Tel: 334-283-8115 Fax: 334-283-2610
Tel: 334-283-8115 Fax: 334-283-2610
Contact information for business:
4146 CARMICHAEL RD MONTGOMERY, AL 36106-3634 US
Tel: 334-270-9924 Fax: 334-270-9904
Tel: 334-270-9924 Fax: 334-270-9904
Registration Information:
NPI: 1811089030
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | AL | 5300 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
