Organization
KEITH VAN METER & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH VAN METER MD (MED DIRECTOR)
(504) 366-7638
Entity
Organization
Contact information
Practice address
149 DRINKWATER BLVD, HANCOCK MEDICAL CENTER, BAY ST. LOUIS, MS 39520
(228) 467-8600
Mailing address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058
(504) 366-7638
(504) 263-2099
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795194
—
LA
05
—
9013224
—
MS
Enumeration date
09/16/2006
Last updated
11/03/2010
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