Healthcare Provider Details

I. General information

NPI: 1982115887
Provider Name (Legal Business Name): DEBORAH KEYSER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 W EXCHANGE ST
AKRON OH
44302-1711
US

IV. Provider business mailing address

25350 ROCKSIDE RD STE 100
BEDFORD HEIGHTS OH
44146-7111
US

V. Phone/Fax

Practice location:
  • Phone: 330-535-2671
  • Fax:
Mailing address:
  • Phone: 216-961-8804
  • Fax: 440-374-4965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.021440
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: