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Individual

MS. SUSAN K KEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, MS, CRNP

Contact information

Practice address
2100 SPRING GARDEN ST, 3RD FL, PHILADELPHIA, PA 19130-3502
(215) 988-9555
Mailing address
705 MAPLE LEAF LN, MOORESTOWN, NJ 08057-1841
(856) 235-5685

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011890
PA

Other

Enumeration date
06/07/2012
Last updated
06/07/2012
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