Individual
MR. KEITH EDWARD ROMANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
ALLEGHANY MEMORIAL HOSPTIAL, 233 DOCTORS ST, SPARTA, NC 28675-9247
(336) 372-5511
Mailing address
233 DOCTORS ST, SPARTA, NC 28675-9247
(336) 372-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9182557
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9182557
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105325400
—
FL
Enumeration date
12/07/2016
Last updated
01/02/2024
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