Nord, Keith Douglas

Nord, Keith Douglas is an individual health care provider with primary practice located at 111 Stonebridge Blvd , Jackson TN 38305-3830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nord, Keith Douglas can be contacted via phone (731) 427-7888.

Contact Information

Primary practice address
111 Stonebridge Blvd Jackson TN 38305-3830
Phone: (731) 427-7888
Fax: (731) 265-4159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD0000026655 Tennessee

Profile Details

NPI number 1033180948
LBN Legal business name Nord, Keith Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jun 24th, 2021 - 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 1033180948 NPPES
Tennessee MEDICAID 3091423

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