Provider Demographics
NPI:1922988633
Name:KEECH, ROBERT PAUL
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAUL
Last Name:KEECH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 W ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-5655
Mailing Address - Country:US
Mailing Address - Phone:501-313-0066
Mailing Address - Fax:501-313-2059
Practice Address - Street 1:2801 W ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-5655
Practice Address - Country:US
Practice Address - Phone:501-313-0066
Practice Address - Fax:501-313-2059
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR234647363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health