MEDICARE: DR. KEITH L HIATT MD MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083A0100X	Aerospace Medicine Physician	031440	CT
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	031440	CT

General Provider Information

NPI Number	:	1548320211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH L HIATT MD MPH

Provider Business Mailing Address
First Line	:	KELLER ARMY COMMUNITY HOSPITAL 900 WASHINGTON ROAD
Second Line	:	ATTN CREDENTIALS
City	:	WEST POINT MILITARY RESERVATION
State	:	NY
Zip	:	10996-0001
Country	:	US
Telephone Number	:	845-938-3470
Fax Number	:	845-938-6660

Provider Business Practice Location Address
First Line	:	KELLER ARMY COMMUNITY HOSPITAL 900 WASHINGTON ROAD
Second Line	:	ATTN CREDENTIALS
City	:	WEST POINT MILITARY RESERVATION
State	:	NY
Zip	:	10996-0001
Country	:	US
Telephone Number	:	845-938-3470
Fax Number	:	845-938-6660

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1720233745 — JOHN E. WILSON JR. CRNA
Practice Location Address:

WEST POINT ARMY MEDICAL CTR , 900 WASHINGTON RD
WEST POINT, NY
10996-0001

Practice Phone: 845-938-0749
Practice Fax:

1427314814 — MS. SUSAN ANN GALLENZ LCSW
Practice Location Address:

BLDG 404 B ST. , CAMP PENDLETON VIRGINIA STATE MILITARY RESERVATION
VIRGINIA BEACH, VA
23451

Practice Phone: 757-961-6580
Practice Fax:

1326303181 — MRS. EVELYN OGAMI-GLARY LMT
Practice Location Address:

1780 BOUGAINVILLEA LP , PHYSICAL FITNESS CENTER ALIAMANU MILITARY RESERVATION
HONOLULU, HI
96818

Practice Phone: 808-253-1498
Practice Fax: 808-487-3014

1093790495 — DR. ALFRED JEROME TERP D.M.D.
Practice Location Address:

UNITED STATES MILITARY ACADEMY , 646 SWIFT ROAD, BLDG 606
WEST POINT, NY
10996-1942

Practice Phone: 845-938-8265
Practice Fax: 845-938-4302

1023097367 — DR. WADE HAMPTON OWENS DDS
Practice Location Address:

UNITED STATES MILITARY ACADEMY , 646 SWIFT ROAD, BLDG 606
WEST POINT, NY
10996-1942

Practice Phone: 845-938-2449
Practice Fax: 845-938-2449

Directions to “ DR. KEITH L HIATT MD MPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.