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1407288434 NPI number — VIRGINIA KYLINE KEEFER CRNP

NPI Number: 1407288434
Health Care Provider/Practitioner: VIRGINIA KYLINE KEEFER CRNP

Information about “1407288434” NPI (VIRGINIA KYLINE KEEFER CRNP) exists in 1407288434 in HTML format HTML  |  1407288434 in plain Text format TXT  |  1407288434 in PDF (Portable Document Format) PDF  |  1407288434 in an XML format XML  formats.

NPI Number : 1407288434 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407288434",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEEFER",
    "FirstName": "VIRGINIA",
    "MiddleName": "KYLINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROSENBERRY",
    "OtherFirstName": "VIRGINIA",
    "OtherMiddleName": "KYLINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "785 5TH AVE",
    "SecondLineMailingAddress": "SUITE 3",
    "MailingAddressCityName": "CHAMBERSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17201-4232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-263-9555",
    "MailingAddressFaxNumber": "717-217-4218",
    "FirstLinePracticeLocationAddress": "46 WALNUT BOTTOM RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHIPPENSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17257-8219",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-532-4148",
    "PracticeLocationAddressFaxNumber": "717-532-3561",
    "EnumerationDate": "08/01/2013",
    "LastUpdateDate": "06/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "SP012996",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN548324",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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