Individual
KEVIN LEE KEETON
Active
Individual
KEVIN LEE KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20027
MT
207R00000X
Internal Medicine Physician
20385
MS
207RP1001X
Pulmonary Disease Physician
Primary
20027
MT
207RP1001X
Pulmonary Disease Physician
20385
MS
208000000X
Pediatrics Physician
20385
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06386869
—
MS
Enumeration date
06/28/2007
Last updated
11/27/2023
Update your record
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