Keith, Katherine Ann
Keith, Katherine Ann is an individual health care provider with primary practice located at 9045 Us Highway 31 , Berrien Springs MI 49103-1804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Keith, Katherine Ann can be contacted via phone (269) 473-2222.Contact Information
Primary practice address
9045 Us Highway 31
Berrien Springs MI 49103-1804
Phone: (269) 473-2222
Fax: (269) 473-6880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301081055 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301081055 | Michigan |
Profile Details
| NPI number | 1104806116 |
|---|---|
| LBN Legal business name | Keith, Katherine Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Nov 26th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104806116 | NPPES |
| Michigan | Other | 1902086689 | GROUP NPI |
| Michigan | Other | P17270001 | GROUP NPI |
| Michigan | MEDICAID | 104694670 | GROUP NPI |
| Michigan | Other | 700A146860 | GROUP NPI |
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