| Doctor Name: | COURTNEY S KEATTS |
| NPI Number: | 1073970539 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGNP |
| License Number: | 5008319 |
| Business Practice Address: | 502 S Scales St Reidsville, NC - 273205022 |
| Business Phone Number: | 3363426060 |
| Business Fax Number: | 3363426068 |
| Mailing Address: | 2904 Spencers Grove Rd, BROWNS SUMMIT |
| State: | NC |
| Postal Code: | 272148404 |
| Phone Number: | 4344893745 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2016 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5008319 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |