| NPI | 1871740175 |
|---|---|
| Former Name | MIRANDA J KEETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 48172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2100022126) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2021-04-13 |