Keith Gregory Chisholm, MD

Surgery Physician · Trinity, FL

Individual Active NPI

NPI number 1164520375

Practice location

10751 Maple Creek Dr
Suite 103
Trinity, FL 34655-4418
Phone
(727) 372-0400
Fax
(727) 372-0403

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NPI record

NPI
1164520375
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
May 28, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X ME83998 FL

Mailing address

3152 Little Rd
Suite 311
Trinity, FL 34655-1864
Phone
(727) 372-0400
Fax
(727) 372-0403

About Dr. Chisholm

Keith Gregory Chisholm, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 10751 Maple Creek Dr, Suite 103, Trinity, FL 34655-4418. The NPI number 1164520375 was assigned on September 20, 2006 and the record was last updated on May 28, 2013.

Dr. Chisholm lists a license in the registry: #ME83998 (FL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Gregory Chisholm, MD?

The NPI number is 1164520375.

What is the phone number of Dr. Chisholm?

The phone number listed for the practice location is (727) 372-0400.

Where is Dr. Chisholm located?

10751 Maple Creek Dr, Suite 103, Trinity, FL 34655-4418.

What is the taxonomy code for Dr. Chisholm?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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