Doctor Name: | DR. JOHN JACOB KEYSER |
NPI Number: | 1366788580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MBA |
License Number: | 3817 |
Business Practice Address: | 4094 Spring Is Okatie, SC - 299094053 |
Business Phone Number: | 8439870616 |
Business Fax Number: | 8439873773 |
Mailing Address: | 4094 Spring Is, OKATIE |
State: | SC |
Postal Code: | 299094053 |
Phone Number: | 8439870616 |
Fax Number: | 8439873773 |
NPI Enumeration Date: | 12/15/2012 |
NPI Last Update Date: | 12/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 3817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |