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Individual
MR. MICHAEL DENNIS KEITH
Active
Individual
MR. MICHAEL DENNIS KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N., L.C.A.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
191
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
45764
KS
Other
Enumeration date
07/26/2013
Last updated
06/29/2023
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