George Keithan III, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

18019 Issued in CT

Practice address

599 Farmington Ave Ste 202
Farmington, CT 06032-2383

Phone

(860) 837-5170

NPI assigned

Aug 5, 2025

Last updated

Sep 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1215811948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HIDDEN LAKE RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414502",
            "telephone_number": "860-510-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARMINGTON AVE STE 202",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322383",
            "telephone_number": "860-837-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Main Street Ext Ste A3",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064574467",
            "country_code": "US",
            "telephone_number": "860-270-0506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITHAN",
        "first_name": "GEORGE",
        "name_suffix": "III",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-05",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "18019",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.188585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Kebisek, M.D.
• W. Dale Keckley, PA
• Robert Daniel Keder, MD
• Grace Kehoe, O.D.
• Mamadi Keita, MD
• Brian Joseph Kelley, M.D.
• Michelle Kelley, APRN
• Michael Kellner, M.D.
• Andrew Kelly
• Christopher Kelly

• Nurse Practitioner in Farmington, CT
• Providers in Farmington, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.