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Individual

DR. ROBERT E. KEETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 MEDICAL DR, MOUNT JACKSON, VA 22842-9417
(540) 477-3185
(540) 477-2666
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5791
(540) 564-7038

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101051846
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080071938
RAILROAD MEDICARE
01
08113000000
SOUTHERN HEALTH
01
1000870001
DME PROVIDER
VA
01
200312
ANTHEM/BCBS
01
41197
OPTIMA
VA
05
5609305
VA
01
700010069
CIGNA
Enumeration date
04/07/2006
Last updated
04/02/2008
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