Individual
KEITH WILLIAM SEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2001 W 5TH ST, LOCUM TENON, FORT STOCKTON, TX 79735-6231
(432) 290-0116
(432) 336-2256
Mailing address
2001 W 5TH ST, FORT STOCKTON, TX 79735-6231
(432) 290-0116
(432) 336-2256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
629213
TX
Other
Enumeration date
02/12/2009
Last updated
03/04/2011
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