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Deactivated NPI 1780955278 Deactivated / Inactive NPI Male Practitioner

Carlyle Keely , RV

Driver • Texarkana, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carlyle Keely has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2012
NPI Deactivation Date August 07, 2024
Total Practice Duration ~12 Years of Practice (2012 – 2024)

Professional Overview & Biography Verified Profile Summary

Carlyle Keely, RV was a registered Driver practicing in Texarkana, AR. Throughout an active medical career spanning 12 years, Carlyle Keely provided care at the practice location at 3108 CENTRAL ST until profile deactivation on 2024-08-07.

Practice Location & Contact Primary Location

Practice Address

3108 Central St

Texarkana, AR 718542918

Telephone 9037925215

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Texarkana, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Texarkana, AR (99 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License TX 14087333

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2024

Record deactivated on August 07, 2024

NPI Profile Active January 16, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 16, 2012

Registered at 3108 CENTRAL ST, TEXARKANA, AR 718542918 (Tel: 9037925215)

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Updated Business Mailing Address January 16, 2012

Registered at 3108 CENTRAL ST, TEXARKANA, AR 718542918 (Tel: 9037925215)

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Provider Name / Credentials Updated January 16, 2012

Recorded as CARLYLE KEELY, RV

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2012

Driver (License #14087333 in TX)

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Initial NPI Registration & Enumeration January 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780955278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2012
Last Update: January 16, 2012
Deactivation Date: August 07, 2024

Mailing Address

3108 Central St

Texarkana, AR 718542918

Phone: 9037925215

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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