Provider Demographics
NPI:1316083223
Name:KEELING, MARITA J (MD)
Entity type:Individual
Prefix:DR
First Name:MARITA
Middle Name:J
Last Name:KEELING
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-360-3030
Mailing Address - Fax:303-360-3275
Practice Address - Street 1:700 POTOMAC ST
Practice Address - Street 2:ADMINSTRATION
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6844
Practice Address - Country:US
Practice Address - Phone:303-360-3030
Practice Address - Fax:303-360-3275
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2016-04-26
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Provider Licenses
StateLicense IDTaxonomies
CO242362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01242361Medicaid
COP01609546Medicare PIN
COD24415Medicare UPIN
CO01242361Medicaid