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Individual

MS. KATHLEEN MARY KEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
854 W JAMES CAMPBELL BLVD, SUITE 201, COLUMBIA, TN 38401-4659
(931) 490-0999
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 201, COLUMBIA, TN 38401-4659
(931) 490-0999

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1990
TN

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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