Individual
BENJAMIN A KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 WINTERS DR, RACELAND, KY 41169-1254
(440) 550-0110
Mailing address
702 WINTERS DR, RACELAND, KY 41169-1254
(440) 550-0110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2190
WV
225X00000X
Occupational Therapist
OT011504
OH
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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