Individual
DIANA M. MCKEITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 N WALNUT ST, FAIRMONT, NC 28340-1951
(910) 628-0655
(910) 628-0158
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201754
NC
Other
Enumeration date
07/21/2005
Last updated
10/18/2013
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