Individual
DR. KEITH P HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15740 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4173
(239) 466-8838
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2625
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME46740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049444500
—
FL
01
—
100010818
RAILROAD MEDICARE
FL
Enumeration date
08/31/2006
Last updated
11/07/2019
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