Individual
KEITH DAVID MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
65 N HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1540
(606) 386-4559
Mailing address
65 N HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1540
(606) 549-0123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015654
KY
Other
Enumeration date
07/13/2020
Last updated
06/15/2021
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