Keaton Peak
Nurse Practitioner · Dothan, AL
Practice location
1108 Ross Clark CirDothan, AL 36301
- Phone
- (334) 793-8111
NPI record
- NPI
- 1467017335
- Entity type
- Individual (Type 1)
- Enumeration date
- May 7, 2019
- Last updated
- September 11, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
1-147512 | AL |
| Registered Nurse | 163W00000X |
1-147512 | AL |
Mailing address
1419 Peak RdWestville, FL 32464-3072
Other practice locations (1)
- 1108 Ross Clark Cir, Dothan, AL 36301 · (334) 793-8111
About Keaton Peak
Keaton Peak is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1108 Ross Clark Cir, Dothan, AL 36301. The NPI number 1467017335 was assigned on May 7, 2019 and the record was last updated on September 11, 2019.
Keaton Peak lists 2 licenses in the registry: #1-147512 (AL) for Nurse Practitioner; #1-147512 (AL) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Keaton Peak?
The NPI number is 1467017335.
What is the phone number of Keaton Peak?
The phone number listed for the practice location is (334) 793-8111.
Where is Keaton Peak located?
1108 Ross Clark Cir, Dothan, AL 36301.
What is the taxonomy code for Keaton Peak?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.
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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