Provider Demographics
NPI:1124167093
Name:KEYES, COLLEEN MELISSA (MD, MPH)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MELISSA
Last Name:KEYES
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:715 ALBANY ST.
Mailing Address - Street 2:PULMONARY CENTER, R304, BOSTON UNIVERSITY SCHOOL OF MED
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-638-4860
Mailing Address - Fax:617-536-8093
Practice Address - Street 1:715 ALBANY ST
Practice Address - Street 2:PULMONARY CENTER, R304, BOSTON UNIVERSITY SCHOOL OF MED
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2526
Practice Address - Country:US
Practice Address - Phone:617-638-4860
Practice Address - Fax:617-536-8093
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2011-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA232746207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine