Keith, David Stephen

Keith, David Stephen is an individual health care provider with primary practice located at 116 E 11Th St Suite 101, Spencer IA 51301-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keith, David Stephen can be contacted via phone (712) 264-3595.

Contact Information

Primary practice address
116 E 11Th St Suite 101 Spencer IA 51301-4300
Fax: (712) 264-3599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OT013526 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4434 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS016151 Pennsylvania

Profile Details

NPI number 1669793808
LBN Legal business name Keith, David Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Sep 4th, 2013 - about 12 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 1669793808 NPPES
Iowa MEDICAID 1669793808

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