# KEITH SHUTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588666267
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9083 | NH | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0109410YPNH02 | ANTHEM BC/BS | NH |
| 05 | — | 3072597 | — | NH |
| 01 | — | 3626045001 | CIGNA HEALTHCARE | NH |
| 01 | — | 5830418 | AETNA GROUP | — |
| 01 | — | 9083 | STATE LICENSE \# | NH |
| 05 | — | 99003818 | — | NH |
| 01 | — | P00100702 | RAILROAD MEDICARE | — |
| 01 | — | RE289602 | PTAN MEDICARE | — |
| 01 | — | RE7915 | MEDICARE GROUP PTAN | — |