Individual
MR. KENNETH WAYNE KEITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.L.T.
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5046
Mailing address
7806 FLOYDSBURG RD, CRESTWOOD, KY 40014-9294
(502) 243-9429
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
244276
KY
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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