Keegan Corbett
NPI #1659111334 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1659111334
- Entity Type
- Individual
- Name
- Keegan Corbett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- May 29, 2024
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 108 COMMODORE CIR
- State
- New York
- ZIP Code
- 11776-2266
- Phone
- (802) 681-8317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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Organizations
| Provider Name | |
|---|---|
| Quality Medical Management Corp |
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