Individual
MR. KEITH JOSEPH DRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4334
(302) 651-4041
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
L1-0030111
DE
163WP0200X
Pediatric Registered Nurse
RN530634L
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
LJ-0000241
DE
363LP0200X
Pediatric Nurse Practitioner
SP009665
PA
Other
Enumeration date
02/25/2008
Last updated
01/20/2012
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