Jessica Leigh Keto in Grand Rapids - Surgery

Jessica Leigh Keto - NPI 1356569933

Jessica Leigh Keto is a Surgery in Grand Rapids, Michigan. Jessica Leigh Keto practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jessica Leigh Keto is 1356569933. The last update date is 2022-08-11.

Jessica Leigh Keto's current location address is 250 Cherry St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166855714 and fax number 6166855260. The mailing address for Jessica Leigh Keto is 250 Cherry St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Leigh Keto
Address 250 Cherry St Se, Grand Rapids, Michigan
Phone Number 6166855714
Fax Number 6166855260
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1356569933
Provider Enumeration Date 2007-04-21
Last Updated Date 2022-08-11

Provider Mailing Address Detail

Address 250 Cherry St Se
City Grand Rapids
State Michigan (MI)
Post Code 49503
Phone Number 6166855714
Fax Number 6166855260

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 4301085967
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Jessica Leigh Keto

What is the unique 10-digit identifier code issued to Jessica Leigh Keto by the Centers for Medicare & Medicaid Services?

The Jessica Leigh Keto has been assigned the NPI (National Provider Identifier) 1356569933 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Jessica Leigh Keto?

The Jessica Leigh Keto is situated at 250 Cherry St Se, in the city of Grand Rapids, state of MI, with the zip code 49503.

What is Jessica Leigh Keto's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jessica Leigh Keto is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356569933 to Jessica Leigh Keto?

The Centers for Medicare & Medicaid Services originally issued the 1356569933 to Jessica Leigh Keto on 2007-04-21.

As of what date were the Jessica Leigh Keto's details last updated?

The information pertaining to the Jessica Leigh Keto, including its address, specialty, and other details, was most recently updated on 2022-08-11.

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