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Born at Laverton, Somerset to William Keate, rector. Educated at Bath Grammar School until 1792, when he was apprenticed to his uncle, Thomas Keate, who in 1798 was elected surgeon to St George's Hospital.
Keate entered St George's Hospital in 1793, and was made hospital mate in 1794 and deputy purveyor to the Forces in 1795. In 1798 he became a member of the Surgeons' Corporation and was appointed staff surgeon in the army. In 1800 he was appointed assistant surgeon to his uncle at St George's Hospital, where he succeeded him as surgeon in 1813. He held the post until 1853.
He was serjeant-surgeon extraordinary to King William IV and serjeant-surgeon to Queen Victoria in 1841. At the Royal College of Surgeons he was co-opted to the Court of Assistants in 1822 and president in 1831 and 1839. He acted as examiner from 1827-1855.
He married the youngest daughter of H. Ramus, by whom he had two sons and four daughters. He died in Hertford Street, Mayfair on 2 October 1857.
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Royal College of Surgeons; Wikipedia