Duryea, Keith M

Duryea, Keith M is an individual health care provider with primary practice located at 102 N Magdalen St , San Angelo TX 76903-5400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as his primary health care specialty. Duryea, Keith M can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
102 N Magdalen St San Angelo TX 76903-5400
Phone: (325) 658-1511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 525231 Texas

Profile Details

NPI number 1932173473
LBN Legal business name Duryea, Keith M
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated May 11th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932173473 NPPES
Texas MEDICAID 088296101

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