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Melissa L Keith, DNP
Family Nurse Practitioner in East Moline, Illinois
NPI 1992354799

Melissa L Keith is a Family Nurse Practitioner based in Davenport, IL and is specialized in Family. Melissa L Keith practices in East Moline, IL and has the professional credentials of DNP. The NPI Number for Melissa L Keith is 1992354799 and holds a License No. A155669 (Illinois).

The current practice location address for Melissa L Keith is 708 15Th Ave, East Moline, IL and can be reached out via phone at 563-336-3000 and via fax at 563-336-3212.

Location: 708 15Th Ave, East Moline, IL, 52801-1014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992354799
Provider Name
Melissa L Keith
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
708 15Th Ave, East Moline, IL, 52801-1014
Phone Number
563-336-3000
Fax Number
563-336-3212
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IA
PENDING 05 IL
institution
Provider Business Practice Location Address Details
Address
708 15Th Ave
City
East Moline
State
Illinois
Zip
61244-2134
Phone Number
563-336-3000
Fax Number
563-336-3212
person
Provider Business Mailing Address Details
Address
708 15Th Ave
City
East Moline
State
Illinois
Zip
61244-2134
Phone Number
563-336-3000
Fax Number
563-336-3212
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A155669 (Iowa)
Definition
Definition to come...
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