Most Relevant Information
Provider Data
| NPI Number: | 1003500323 |
| Provider Name: | KEITH DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | SP027651 |
Most Important Dates
| Enumeration Date: | 06/08/2023 |
| Last Updated: | 06/08/2023 |
Provider Practice Location
559 W GERMANTOWN PIKE
EAST NORRITON
PA
194034250
Practice Location Phone/Fax
| Phone: | 4846221000 |
| Fax: |
Provider Mailing Location
4500 NEWPORTVILLE RD
NEWPORTVILLE
PA
190563255
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |