Individual
REBECCA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
312 BUSINESS 53 STE 7, MINONG, WI 54859-9550
(715) 466-4400
(715) 466-4401
Mailing address
PO BOX 617, 312 BUSINESS HYW 53, SUITE 7, MINONG, WI 54859-0617
(715) 466-4400
(715) 466-4401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
130019-30
WI
363LF0000X
Family Nurse Practitioner
Primary
3947-33
WI
Other
Enumeration date
01/07/2010
Last updated
01/30/2014
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