Individual
STEPHEN DANIEL KEITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1751 VETERANS DR STE 205, FLORENCE, AL 35630-4929
(256) 766-2600
(256) 768-8658
Mailing address
541 W COLLEGE ST STE 2600, FLORENCE, AL 35630-5365
(256) 766-2600
(256) 383-1251
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21441
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941498
—
AL
05
—
009941499
—
AL
01
—
051559121
MEDICARE
AL
01
—
51004809
BCBS AL
AL
01
—
51538967
BCBS AL
AL
Enumeration date
10/04/2006
Last updated
03/08/2022
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