Individual
KAYLA N KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1121 N. CHURCH STREET, P.O. BOX 10467, GREENSBORO, NC 27404-0467
(336) 207-7005
Mailing address
630 HUNTCO DR APT 1803, CLARKSVILLE, TN 37043-2377
(407) 256-2895
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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