Individual
KEITH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-1000
Mailing address
4500 NEWPORTVILLE RD, NEWPORTVILLE, PA 19056-3255
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP027651
PA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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