Mary Jeanne Keith in Minnetonka - Gerontology
Mary Jeanne Keith - NPI 1396733739
Mary Jeanne Keith is a Gerontology in Minnetonka, Minnesota. Mary Jeanne Keith practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Mary Jeanne Keith is 1396733739. The last update date is 2011-09-07.
Mary Jeanne Keith's current location address is 401 Carlson Parkway, Minnetonka, Minnesota. You can contact this provider via phone number 9529923604 and fax number 6128660459. The mailing address for Mary Jeanne Keith is 401 Carlson Parkway, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jeanne Keith |
|---|---|
| Address | 401 Carlson Parkway, Minnetonka, Minnesota |
| Phone Number | 9529923604 |
| Fax Number | 6128660459 |
| Sole Proprietor | Y |
| Credentials | RN, CNP |
NPI Number Detail
| NPI Number | 1396733739 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 401 Carlson Parkway |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553055387 |
| Phone Number | 9529923604 |
| Fax Number | 6128660459 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 136908-23 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 553215900 | MN | -- |
Post Comment/ Review Below
What is the Mary Jeanne Keith's unique identification number?
The Mary Jeanne Keith has been assigned the NPI (National Provider Identifier) Number 1396733739 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mary Jeanne Keith is physically located?
The Mary Jeanne Keith is situated at the following address: 401 Carlson Parkway, Minnetonka, MN 553055387.
What is Mary Jeanne Keith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Jeanne Keith is Gerontology, and the corresponding taxonomy classification code for this specialized field is 363Lg0600X.
On what date was the 1396733739 assigned to Mary Jeanne Keith?
The Mary Jeanne Keith was issued its 1396733739 on 2005-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mary Jeanne Keith most recently updated or revised?
The information pertaining to Mary Jeanne Keith, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-07.