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Individual

KEITH A. COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 38132-2113
(901) 448-2300
(901) 448-6657
Mailing address
66 N PAULINE ST STE 206, MEMPHIS, TN 38105-5105
(901) 448-1480
(901) 448-1772

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13070
TN

Other

Enumeration date
11/19/2007
Last updated
11/19/2007
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