Individual
KEITH A KREITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 DUPLIN STREET, KENANSVILLE, NC 28349-9024
(910) 275-0027
(910) 296-0214
Mailing address
211 DUPLIN STREET, KENANSVILLE, NC 28341-9024
(910) 275-0027
(910) 296-0214
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15775R
LA
208600000X
Surgery Physician
Primary
2023-02847
NC
208600000X
Surgery Physician
MD430162
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017391810005
—
PA
05
—
1336101591
—
NC
01
—
1901798
HIGHMARK BLUE SHIELD
PA
01
—
2768753000
KEYSTONE IBC
PA
01
—
30211403
KEYSTONE FIRST
PA
01
—
5300345
CIGNA PA
PA
01
—
7933617
AETNA
PA
01
—
P01468758
RAILROAD MEDICINE
PA
Enumeration date
04/04/2006
Last updated
12/04/2023
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