Provider Demographics
NPI:1538381983
Name:O'KEEFE, KEVIN F (DMD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:F
Last Name:O'KEEFE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 E 52ND ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6346
Mailing Address - Country:US
Mailing Address - Phone:212-752-3056
Mailing Address - Fax:212-752-0104
Practice Address - Street 1:349 E 52ND ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6346
Practice Address - Country:US
Practice Address - Phone:212-752-3056
Practice Address - Fax:212-752-0104
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038011-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist