Active NPIIndividual provider

Shannon Keck

Nurse Anesthetist, Certified Registered in Mount Holly, New Jersey

NPI Number1881949683
Practice location
175 Madison Ave, Mount Holly, NJ 08060-2038
Fax
—
Last updated
January 17, 2025

Shannon Keck is a Nurse Anesthetist, Certified Registered based in Mount Holly, NJ. Shannon Keck practices in Mount Holly, NJ. The NPI Number for Shannon Keck is 1881949683 and holds a License No. 25627 (SC). The current practice location address for Shannon Keck is 175 Madison Ave, Mount Holly, NJ 08060-2038 and can be reached out via phone at 609-267-0700.

Provider Profile Details

NPI Number
1881949683
Provider Name
Shannon Keck
Provider Entity Type
Individual
Gender
Female
Address
175 Madison Ave, Mount Holly, NJ 08060-2038
Phone Number
609-267-0700
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2012
Last Update Date
January 17, 2025
Certification Date
January 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Madison Ave
Mount Holly, NJ 08060-2038
Zip
08060-2038
Phone Number
609-267-0700
Mount Holly, NJ 08060Get directions →

Provider Business Mailing Address Details

Address
15 Harrogate CT
Sewell, NJ 08080-2734
City
Sewell
State
NJ
Zip
08080-2734
Phone Number
609-617-9047

License Information

License Number (1)
25627
License State (1)
SC
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
26NR15104200
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
26NJ00417900
License State (3)
NJ
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

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

Other Nurse Anesthetist, Certified Registered providers near Mount Holly, NJ

View all Nurse Anesthetist, Certified Registered providers in Mount Holly →

Frequently Asked Questions

What is the NPI number of Shannon Keck?

The NPI number of Shannon Keck is 1881949683. It was assigned on July 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Shannon Keck?

Shannon Keck is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in SC under license number 25627.

Where does Shannon Keck practice?

The practice location is 175 Madison Ave, Mount Holly, NJ 08060-2038. The office can be reached at 609-267-0700 (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 1881949683 directly on the NPPES registry website.

Browse related providers