Individual
STEPHEN KYLE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
P-T0931
AR
363AM0700X
Medical Physician Assistant
PA-400
AR
363AM0700X
Medical Physician Assistant
Primary
PA06992
TX
Other
Enumeration date
10/14/2009
Last updated
03/21/2016
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