Individual
SOTHEARA KEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
446 N READING RD, EPHRATA, PA 17522-9802
(717) 733-6546
(717) 733-6011
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019862
PA
363LP2300X
Primary Care Nurse Practitioner
SP019862
PA
Other
Enumeration date
04/30/2019
Last updated
07/21/2025
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