Individual
KEITH SCOTT CLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
401 MEDICAL PARK DR, ATMORE, AL 36502-3091
(251) 368-2500
Mailing address
401 MEDICAL PARK DR, ATMORE, AL 36502-3091
(251) 368-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-096876
AL
Other
Enumeration date
10/25/2018
Last updated
11/01/2018
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