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Individual
KEITH AMBERMAN
Active
Individual
KEITH AMBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
Y0000020
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345678
HOSPITAL
MD
Enumeration date
03/23/2026
Last updated
03/23/2026
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