Individual
MRS. COLLEEN M KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCA
Contact information
Practice address
560 W MITCHELL ST, SUITE 250, PETOSKEY, MI 49770-2275
(231) 439-6844
(231) 487-0728
Mailing address
560 W MITCHELL ST, SUITE 250, PETOSKEY, MI 49770-2275
(231) 439-6844
(231) 487-0728
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4337275
—
MI
05
—
4708524
—
MI
Enumeration date
07/21/2006
Last updated
07/09/2007
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