Individual
MR. KEITH S EWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
474 SOUTHWOOD CIR, CABOT, AR 72023-8917
(501) 843-5858
Mailing address
474 SOUTHWOOD CIRCLE, CABOT, AR 72023-8917
(501) 843-5858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00270
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121464701
—
AR
Enumeration date
10/13/2006
Last updated
07/19/2011
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