Individual
JANICE F KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
927 E BROADWAY, LOUISVILLE, KY 40204-1001
(859) 252-6500
(502) 222-0029
Mailing address
927 E BROADWAY, LOUISVILLE, KY 40204-1001
(859) 252-6500
(502) 222-0029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003580
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000792714
ANTHEM PIN
KY
05
—
78007572
—
KY
Enumeration date
10/17/2011
Last updated
03/06/2014
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