Thatch, Keith Andrew

Thatch, Keith Andrew is an individual health care provider with primary practice located at 601 5Th St S Ste 306 , St Petersburg FL 33701-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Thatch, Keith Andrew can be contacted via phone (727) 767-3439.

Contact Information

Primary practice address
601 5Th St S Ste 306 St Petersburg FL 33701-4804
Phone: (727) 767-3439
Fax: (727) 767-4346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X M-15720 Idaho
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME134648 Florida

Profile Details

NPI number 1053577742
LBN Legal business name Thatch, Keith Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Oct 11th, 2022 - about 2 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 1053577742 NPPES
Florida MEDICAID 023296400

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