Individual
KEITH AMBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4421 THORNHURST DR, OLNEY, MD 20832-1842
(610) 324-9183
Mailing address
4421 THORNHURST DR, OLNEY, MD 20832-1842
(610) 324-9183
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
Y0000020
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345678
HOSPITAL
MD
Enumeration date
03/23/2026
Last updated
03/23/2026
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