National Provider Identifier
Keelen Mary Burke
Keelen Mary Burke is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Macedon, NY and a listed phone number of (315) 986-4474.
Profile Overview
- NPI
- 1659994713
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 24, 2020
- Last Updated
- September 04, 2024
Practice Location
- 4 West St
- Macedon, NY 14502-8803
Phone: (315) 986-4474
Mailing Address
- 127 Cuyler St
- Palmyra, NY 14522-1401
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1659994713
- Entity Type
- Individual
- Last Name
- Burke
- First Name
- Keelen
- Middle Name
- Mary
- Name Prefix
- Mrs.
- Mailing Street Address
- 127 Cuyler St
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1401
- Mailing Country
- US
- Mailing Phone
- (716) 602-9309
- Practice Street Address
- 4 West St
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-8803
- Practice Country
- US
- Practice Phone
- (315) 986-4474
- Enumeration Date
- May 24, 2020
- Last Updated
- September 04, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)