MEDICARE: DR. KEVIN D KEITH D.O.

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	207XX0801X	Orthopaedic Trauma Physician	OS016409	PA
2	207X00000X	Orthopaedic Surgery Physician	66959	GA

General Provider Information

NPI Number	:	1033378963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN D KEITH D.O.

Provider Business Mailing Address
First Line	:	2417 N PATTERSON ST
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-2512
Country	:	US
Telephone Number	:	229-433-1861
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 N PATTERSON ST
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-2512
Country	:	US
Telephone Number	:	229-433-1861
Fax Number	:

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

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	05/22/2025

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Directions to “ DR. KEVIN D KEITH D.O.” Practice Location

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