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NPI Code Detail

MEDICARE: MR. JASON SCOTT KEISER RN

MEDICARE:  MR. JASON SCOTT KEISER  RN
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
1163W00000XRegistered Nurse374557OH

General Provider Information

NPI Number : 1538442181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON SCOTT KEISER RN
Provider Business Mailing Address
First Line : 29 JOHNSON FARM LN
Second Line :
City : VALLEY GROVE
State : WV
Zip : 26060-8077
Country : US
Telephone Number : 304-559-4184
Fax Number :
Provider Business Practice Location Address
First Line : 29 JOHNSON FARM LN
Second Line :
City : VALLEY GROVE
State : WV
Zip : 26060-8077
Country : US
Telephone Number : 304-559-4184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ MR. JASON SCOTT KEISER RN” Practice Location

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