Keith, Tara

Keith, Tara is an sole proprietor health care provider with primary practice located at 3 Riverside Cir , Roanoke VA 24016-4955. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Keith, Tara can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
3 Riverside Cir Roanoke VA 24016-4955
Phone: (540) 224-5170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024174587 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024174587 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024174587 Virginia

Profile Details

NPI number 1407396542
LBN Legal business name Keith, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2017
Last updated Nov 11th, 2025 - about last year

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.

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