Keith Evans

NPI #1942549746 in Pine Grove, Pennsylvania

Provider Information

NPI Number: 1942549746
Entity Type: Individual
Name: Keith Evans
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 14, 2013
Last Updated: Feb 14, 2013

Practice Location

Address: 56 CHESTNUT LN
City: Pine Grove
State: Pennsylvania
ZIP Code: 17963-8741
Phone: (570) 617-3514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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