Individual
DR. JASON C KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35071465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188223
BC/BS PROVIDER NUMBER
OH
01
—
1701506
UHC PROVIDER NUMBER
OH
05
—
2151997
—
OH
01
—
7231123
AETNA PROVIDER NUMBER
OH
Enumeration date
07/18/2006
Last updated
01/09/2024
Update your record
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