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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912985912 | NPPES |
| Colorado | Other | DEN.00204170 | COLORADO DENTAL LICENSE |
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