Individual
DR. JEREMY D KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2325 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 275-6100
(605) 275-6105
Mailing address
2325 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 275-6100
(605) 275-6105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SD702
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010371
—
IL
Enumeration date
07/12/2010
Last updated
01/28/2014
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