Individual
KEITH E TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13347 WARWICK BLVD, NEWPORT NEWS, VA 23602-5601
(757) 877-0214
(757) 875-0524
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101231444
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010113067
—
VA
01
—
171930
BCBS
VA
01
—
P00195018
RAILROAD M'CARE
—
Enumeration date
11/08/2005
Last updated
08/18/2011
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