Individual
DAVID LEWIS KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS, FORT DRUM, NY 13602-5438
(315) 772-5508
Mailing address
4247 CANOE CREEK LANE, LIVERPOOL, NY 13090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/16/2005
Last updated
03/24/2022
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