Individual
KATHY KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
458 BRENTWOOD DR APT 6, DAYTONA BEACH, FL 32117-4832
(863) 227-6111
Mailing address
458 BRENTWOOD DR APT 6, DAYTONA BEACH, FL 32117-4832
(863) 227-6111
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
FL
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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