DR. Michael Allen Keith, O.D.

NPI #1063528446 in Johnson City, Tennessee

Provider Information

NPI Number: 1063528446
Entity Type: Individual
Name: DR. Michael Allen Keith, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 119 BOONE RIDGE DR
Address 2: SUITE 101
City: Johnson City
State: Tennessee
ZIP Code: 37615-4998
Phone: (423) 283-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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