RUTH J KEILI


Address: 3562 Old Village Dr, Orange Park, FL 32065-5521
Phone: 7578123776

RUTH J KEILI (NPI# 1235748500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235748500
Entity Type Individual
Full Name RUTH J KEILI
Practice Address 3562 Old Village Dr
Orange Park
FL 32065-5521
Practice Telephone 7578123776
Mailing Telephone 7578123776
Enumeration Date 2020-07-23
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Office Location

Street Address 3562 OLD VILLAGE DR
City ORANGE PARK
State FL
Zip Code 32065-5521

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1073942991 Joy L. Dozier Smith Social Worker 1363 Akron Oaks Drive, Orange Park, FL 32065 2013-11-01
1942635800 Demetta Vereen Counselor 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 2013-09-11
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1609410059 Barbara Ann Davis Psychologist 1324 Fairway Village Dr, Fleming Island, FL 32003-8398 2019-10-29
1417599531 Bernice L Walker Psychologist 2449 Bracknell Forest Trl, Tavares, FL 32778-5706 2019-10-09
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1598251795 Tez-mia Kimberly Gray Psychologist 1100 Lime St Apt 28, Fernandina Beach, FL 32034-4417 2018-07-11
1205331881 Tyric Lamont Drummond Psychologist 990 62nd Ter S, Saint Petersburg, FL 33705-5819 2018-03-27
1669973640 Tanya Delanie Samuels Psychologist 502 Camino Real Ct Apt A, Brandon, FL 33510-3704 2018-02-23
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Competitor

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City ORANGE PARK
Zip Code 32065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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