MEDICARE: KEITH MICHAEL RUNION

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	376J00000X	Homemaker	RK595128	OH

General Provider Information

NPI Number	:	1649121534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH MICHAEL RUNION

Provider Business Mailing Address
First Line	:	127 TOMB ST
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-1172
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 TOMB ST
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-1172
Country	:	US
Telephone Number	:	567-207-8794
Fax Number	:

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ KEITH MICHAEL RUNION ” Practice Location

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