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Individual

VIRGINIA KYLINE KEEFER

Active
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Individual

VIRGINIA KYLINE KEEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN548324
PA
363LF0000X
Family Nurse Practitioner
Primary
SP012996
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100730726 0039
MEDICAID GROUP #
PA
05
102858928
PA
01
867633
MEDICARE GROUP #
PA
Enumeration date
08/01/2013
Last updated
06/02/2021
About Stedi
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