Individual
KAY KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4402
(850) 325-5885
(850) 325-7685
Mailing address
PO BOX 403631, ATLANTA, GA 30384-3631
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP2029502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089151-00
—
FL
05
—
473115624A
—
GA
01
—
P00746205
RAILROAD MEDICARE
FL
01
—
Y122Z
BCBS
FL
Enumeration date
01/23/2008
Last updated
12/18/2009
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