Individual
DR. KEITH S RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N FRONT ST, SUITE 200, WORMLEYSBURG, PA 17043-1034
(717) 731-0101
(717) 441-0592
Mailing address
1000 N FRONT ST STE 2F, WORMLEYSBURG, PA 17043-1034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD071401L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD071401L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010209400001
—
PA
Enumeration date
08/15/2005
Last updated
04/09/2021
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