Individual
KEYANE HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 TAYLOR ST, HARPERS FERRY, WV 25425-3641
(304) 535-6343
(304) 535-6618
Mailing address
5935 BERTRAM AVE, BALTIMORE, MD 21214-2002
(407) 579-8886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0100644
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
12/02/2024
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