Individual
NANCY M KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
602 W UNIVERSITY AVE, MEDICAL STAFF OFFICE - NCW4, URBANA, IL 61801-2530
(217) 383-6792
Mailing address
602 W UNIVERSITY AVE, MEDICAL STAFF OFFICE - NCW4, URBANA, IL 61801-2530
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
029004977
IL
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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