Individual
KEITH ALAN LEETH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1252 N BRIDGE ST, CHILLICOTHE, OH 45601-1852
(866) 534-2639
(800) 480-7578
Mailing address
1515 STATE ROUTE 220, PIKETON, OH 45661-9058
(740) 600-0819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.543295
OH
164W00000X
Licensed Practical Nurse
LPN.168157.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036897
—
OH
Enumeration date
12/06/2023
Last updated
08/08/2025
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