SearchVirginia1710I1002X

Elliott Keck, IDC

NPI 1255536785 · on the registry since 2007 · sole proprietor

Practice

Address
1550 Tomcat Blvd Ste 150
Nas Oceana, Bhc
Virginia Beach, VA 23460
Phone
(757) 953-3792
Organisation at this address
U S Navy
Nmc Portsmouth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
1710I1002X
1710I1002X
Also registered as
247200000X
Sex
Male
Record last updated
2012-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia