SANDRA M KEAVEY

FARMINGTON HILLS, MI
NPI1215932702
Former NameSANDRA M SHELBY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60467722)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5601001357)
363A00000X Physician Assistant
(Licence: NC  0010-03212)
363AM0700X Physician Assistant, Medical
(Licence: WA  PA60467722)
Enumeration Date2005-06-20
Last Update Date2022-06-15
Business Address
SANDRA M KEAVEY PA-C
32605 W 12 MILE RD STE 195
FARMINGTON HILLS, MI 48334-3390
Phone number: 313-306-2023
Mailing Address
SANDRA M KEAVEY PA-C
16351 ROTUNDA DR #275D
DEARBORN, MI 48120-1170
Phone number: 910-709-1488