Individual
MR. TIMOTHY SCOTT KEIDEL JR.
Active
Individual
MR. TIMOTHY SCOTT KEIDEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
OS20246
FL
Other
Enumeration date
03/13/2018
Last updated
07/28/2023
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