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General NPI Number Information
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NPI Number | 1558211698
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Entity Type | Individual
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Provider Name | KATHERINE KEITH APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 454 W CENTRAL AVE STE A
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City | DELAWARE
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State | OH
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Zip | 43015-1486
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Country | US
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Telephone | 740-566-4621
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Fax | 740-566-4622
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Provider Business Mailing Address
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Address Line | 2111 E STATE ST
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City | ATHENS
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State | OH
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Zip | 45701-2138
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Country | US
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Telephone | 740-566-4621
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRNCNP0042572
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN542358
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License Number State | OH
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