Individual
KEITH LAMAR ALEXANDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715A DIVISION ST, BILOXI, MS 39530-2209
(228) 374-2494
Mailing address
14055 JOHN CLARK RD UNIT 16B, GULFPORT, MS 39503-7084
(228) 493-0536
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906961
MS
Other
Enumeration date
08/29/2024
Last updated
10/22/2024
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