Individual
SAMANTHA L KEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
110 HOSPITAL RD, SUITE 310, PRINCE FREDERICK, MD 20678-4019
(410) 535-2005
(410) 535-5761
Mailing address
110 HOSPITAL ROAD, SUITE 310, PRINCE FREDERICK, MD 20678-4041
(410) 535-2005
(410) 535-5761
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C05217
MD
Other
Enumeration date
11/04/2013
Last updated
08/11/2017
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