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NPI Code Detail

MEDICARE: SHELBY MARIE KEYSER DO

MEDICARE:   SHELBY MARIE KEYSER  DO
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
1207V00000XObstetrics & Gynecology PhysicianOS024744PA

General Provider Information

NPI Number : 1417410861
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY MARIE KEYSER DO
Provider Business Mailing Address
First Line : 100 E LANCASTER AVE STE 158
Second Line :
City : WYNNEWOOD
State : PA
Zip : 19096-3427
Country : US
Telephone Number : 610-649-2126
Fax Number :
Provider Business Practice Location Address
First Line : 100 E LANCASTER AVE STE 158
Second Line :
City : WYNNEWOOD
State : PA
Zip : 19096-3427
Country : US
Telephone Number : 610-649-2126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2019
Last Update Date : 04/01/2025

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Directions to “ SHELBY MARIE KEYSER DO” Practice Location

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