Individual
DR. KEITH D TATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.B.A.
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3272
Mailing address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3272
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036124197
IL
207P00000X
Emergency Medicine Physician
Primary
2020-01006
NC
Other
Enumeration date
11/21/2008
Last updated
04/21/2025
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