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Dr. Mark Walter Keilbarth, DO
Student in an Organized Health Care Education/Training Program in Eglin Afb, Florida
NPI 1437732617

Mark Walter Keilbarth is a Student in an Organized Health Care Education/Training Program based in Eglin Afb, FL. Mark Walter Keilbarth practices in Eglin Afb, FL and has the professional credentials of DO. The NPI Number for Mark Walter Keilbarth is 1437732617 and holds a License No. (Florida).

The current practice location address for Mark Walter Keilbarth is 307 Boatner Rd Ste 114, Eglin Afb, FL and can be reached out via phone at 850-883-8600.

Location: 307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437732617
Provider Name
Mark Walter Keilbarth
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
Phone Number
850-883-8600
Fax Number
Provider Enumeration Date
05/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
307 Boatner Rd Ste 114
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-8600
Fax Number
person
Provider Business Mailing Address Details
Address
307 Boatner Rd Ste 114
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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Student in an Organized Health Care Education/Training Program
307 Boatner Rd Ste 114,
EGLIN AFB, FL
32542-1302
850-883-8586
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