Doctor Name: | DR. KEISHA NATASHA BLAIR |
NPI Number: | 1871665307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101240321 |
Business Practice Address: | Uss Fort Mchenry (lsd 43) Fpo Ae 09569-1731 Norfolk, VA - 095691731 |
Business Phone Number: | 7574441432 |
Business Fax Number: | |
Mailing Address: | 1024 Hill Street, CHESAPEAKE |
State: | VA |
Postal Code: | 233241125 |
Phone Number: | 7572331656 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101240321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |