Keith, Karen Marie

Keith, Karen Marie is an sole proprietor health care provider with primary practice located at Landstuhl Dental Activity Cmr 402, Apo AE 09180. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Keith, Karen Marie can be contacted via phone (314) 487-4130.

Contact Information

Primary practice address
Landstuhl Dental Activity Cmr 402 Apo AE 09180
Phone: (314) 487-4130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN.00204170 Colorado
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DEN.00204170 Colorado
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 11-K5378 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019022459 Illinois
Dental Providers / Dentist 122300000X 019022459 Illinois

Profile Details

NPI number 1912985912
LBN Legal business name Keith, Karen Marie
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Aug 26th, 2020 - about 4 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 1912985912 NPPES
Colorado Other DEN.00204170 COLORADO DENTAL LICENSE

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