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NPI Code Detail

MEDICARE: AMANDA L KEITH FNP

MEDICARE: AMANDA L KEITH FNP
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
1363LF0000XFamily Nurse Practitioner0024173325VA

General Provider Information

NPI Number : 1689034514
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA L KEITH FNP
Provider Business Mailing Address
First Line : 949 PINEY FOREST RD
Second Line :
City : DANVILLE
State : VA
Zip : 24540-1591
Country : US
Telephone Number : 434-857-5644
Fax Number : 434-835-4875
Provider Business Practice Location Address
First Line : 949 PINEY FOREST RD
Second Line :
City : DANVILLE
State : VA
Zip : 24540-1591
Country : US
Telephone Number : 434-857-5644
Fax Number : 434-835-4875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2016
Last Update Date : 05/27/2026

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Directions to “ AMANDA L KEITH FNP” Practice Location

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