Individual
MR. KEITH ALLEN EVERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
14 KNOX PLZ, BARBOURVILLE, KY 40906-7300
(606) 546-7777
(606) 545-7611
Mailing address
325 FLOYD BRANCH RD, BEREA, KY 40403-8666
(859) 986-6036
(859) 986-6036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002444
KY
363LF0000X
Family Nurse Practitioner
3002444
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78024445
—
KY
Enumeration date
05/24/2006
Last updated
04/11/2024
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