Individual
MARY KATHERINE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-1615
Mailing address
2001 TULANE AVE, D&T 2ND FLOOR - SUITE 2720, NEW ORLEANS, LA 70112-2249
(504) 702-2287
(504) 702-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021-01697
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
12/09/2021
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