Individual
KEATON KRISTOPHER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
214 18TH ST SE, HICKORY, NC 28602-1363
(828) 322-5172
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13704
NC
Other
Enumeration date
09/07/2023
Last updated
11/02/2023
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