Healthcare Provider Details

I. General information

NPI: 1306777446
Provider Name (Legal Business Name): MEGAN KEITH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 MEADOW POND CT STE 100
GROVE CITY OH
43123-9827
US

IV. Provider business mailing address

10837 BALLAH RD
ORIENT OH
43146-9106
US

V. Phone/Fax

Practice location:
  • Phone: 614-663-4020
  • Fax:
Mailing address:
  • Phone: 614-625-5696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.0042324
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: