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Individual
KEITH ALAN LEETH JR.
Active
Individual
KEITH ALAN LEETH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.543295
OH
164W00000X
Licensed Practical Nurse
LPN.168157.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036897
—
OH
Enumeration date
12/06/2023
Last updated
08/08/2025
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