Individual
DR. KEITH ADAM MEETZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-5540
(704) 664-9638
(704) 664-1859
Mailing address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-5540
(704) 664-9638
(704) 664-1859
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
200400386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912716
—
NC
05
—
5913652
—
NC
Enumeration date
11/10/2006
Last updated
06/25/2013
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