Individual
DR. KEITH E TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
166 ATLANTIC AVENUE, MARBLEHEAD, MA 01945
(781) 631-2182
(781) 631-2142
Mailing address
166 ATLANTIC AVENUE, MARBLEHEAD, MA 01945
(781) 631-2182
(781) 631-2142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA2954
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348988
—
MA
Enumeration date
03/01/2006
Last updated
07/09/2015
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