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Individual
KEITH VAN ALLEN NANCE
Active
Individual
KEITH VAN ALLEN NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
31052
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61786
BCBS
NC
05
—
8961786
—
NC
Enumeration date
02/28/2006
Last updated
01/15/2008
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