Individual
MR. KEITH NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5012 CROSSWOOD AVE, BALTIMORE, MD 21214-3001
(443) 850-1069
Mailing address
5012 CROSSWOOD AVE, BALTIMORE, MD 21214-3001
(443) 850-1069
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30AL3361-A
MD
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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