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Keiffer Paul Suddeth, PHARMD
Student in an Organized Health Care Education/Training Program in New Haven, Indiana
NPI 1538852090

Keiffer Paul Suddeth is a Student in an Organized Health Care Education/Training Program based in Fort Wayne, IN. Keiffer Paul Suddeth practices in New Haven, IN and has the professional credentials of PHARMD. The NPI Number for Keiffer Paul Suddeth is 1538852090 and holds a License No. 45020981A (Indiana).

The current practice location address for Keiffer Paul Suddeth is 907 Lincoln Hwy W, New Haven, IN and can be reached out via phone at 260-493-3736 and via fax at 260-749-7947.

Location: 907 Lincoln Hwy W, New Haven, IN, 46825-2380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538852090
Provider Name
Keiffer Paul Suddeth
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
907 Lincoln Hwy W, New Haven, IN, 46825-2380
Phone Number
260-493-3736
Fax Number
260-749-7947
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
907 Lincoln Hwy W
City
New Haven
State
Indiana
Zip
46774-2141
Phone Number
260-493-3736
Fax Number
260-749-7947
person
Provider Business Mailing Address Details
Address
907 Lincoln Hwy W
City
New Haven
State
Indiana
Zip
46774-2141
Phone Number
260-493-3736
Fax Number
260-749-7947
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
45020981A (Indiana)
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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