Keith, Jared N

Keith, Jared N is an individual health care provider with primary practice located at 400 Shadowline Dr Ste 203 , Boone NC 28607-5022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Keith, Jared N can be contacted via phone (828) 263-8707.

Contact Information

Primary practice address
400 Shadowline Dr Ste 203 Boone NC 28607-5022
Phone: (828) 263-8707
Fax: (828) 263-8710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD.34085 Alabama
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2018-02062 North Carolina

Profile Details

NPI number 1386962918
LBN Legal business name Keith, Jared N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated May 3rd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386962918 NPPES
Tennessee MEDICAID Q073893

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