Individual
KEITH J KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, 4TH FLOOR, CHARLOTTE, NC 28203
(704) 355-2251
Mailing address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
036112263
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036112263
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2010-00961
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
32665
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
50019
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157973000
—
MN
05
—
35178100
—
WI
05
—
ENROLLED
—
IA
01
—
P00457960
RAILROAD MEDICARE
MN
Enumeration date
06/09/2006
Last updated
07/18/2018
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