Active NPIIndividual provider

Ms. Courtney M Keville, PA-C

Physician Assistant in Freehold, New Jersey

NPI Number1740819168
Practice location
210 Mounts Corner Dr, Freehold, NJ 07728-2547
Fax
—
Last updated
May 7, 2025

Courtney Marie Keville is a Physician Assistant based in Freehold, NJ. Courtney Marie Keville practices in Freehold, NJ and has the professional credentials of PA-C. The NPI Number for Courtney Marie Keville is 1740819168 and holds a License No. 25MP00562600 (NJ). The current practice location address for Courtney Marie Keville is 210 Mounts Corner Dr, Freehold, NJ 07728-2547 and can be reached out via phone at 877-532-7837.

Provider Profile Details

NPI Number
1740819168
Provider Name
Courtney Marie Keville
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
210 Mounts Corner Dr, Freehold, NJ 07728-2547
Phone Number
877-532-7837
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 7, 2020
Last Update Date
May 7, 2025
Certification Date
May 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Mounts Corner Dr
Freehold, NJ 07728-2547
Zip
07728-2547
Phone Number
877-532-7837
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
City
Bloomfield
State
NJ
Zip
07003-3066
Phone Number
877-532-7837

License Information

License Number (1)
25MP00562600
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
024814
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Courtney M Keville, PA-C?

The NPI number of Ms. Courtney M Keville, PA-C is 1740819168. It was assigned on April 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Courtney M Keville, PA-C?

Ms. Courtney M Keville, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00562600.

Where does Ms. Courtney M Keville, PA-C practice?

The practice location is 210 Mounts Corner Dr, Freehold, NJ 07728-2547. The office can be reached at 877-532-7837 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740819168 directly on the NPPES registry website.

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