Individual
MR. KEITH B EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNS-BC
Contact information
Practice address
12 LINCOLN DR, SHELBY, OH 44875-1482
(419) 961-2873
Mailing address
12 LINCOLN DR, SHELBY, OH 44875-1482
(419) 961-2873
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN.CNS.19050
OH
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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