Individual
JARED N KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SHADOWLINE DR STE 203, BOONE, NC 28607-5022
(828) 263-8707
(828) 263-8710
Mailing address
400 SHADOWLINE DR STE 203, BOONE, NC 28607-5022
(828) 263-8707
(828) 263-8710
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2018-02062
NC
207RN0300X
Nephrology Physician
MD.34085
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q073893
—
TN
Enumeration date
05/06/2010
Last updated
05/03/2023
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