DR. Keith A Micetich MD

  • NPI 1427026137
According to our database, the NPI number for DR. Keith A Micetich MD is 1427026137 and activated since 18 years ago. DR. Keith A Micetich MD is an individual provider who specializes in Specialist, and the primary practice location is 72 Physicians Dr, Jackson, TN 38305. You can also contact DR. Keith A Micetich MD via telephone number is (731) 668-4455. Provider NPI information was last updated on 11/02/2011.

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Overview of DR. Keith A Micetich MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/09/2006
  • Last updated: 11/02/2011

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 26274
  • License State: TN

Provider Mailing Address

  • Address: 72 Physicians Dr
    Jackson, TN 38305
  • Phone: 731-668-4455
  • Fax: 731-664-4508

Provider Practice Location

  • Address: 72 Physicians Dr
    Jackson, TN 38305
  • Phone: 731-668-4455
  • Fax: 731-668-9007

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 26274
  • License State: TN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 3009628
  • Identifier Type: Other
  • Identifier State: TN
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Keith A Micetich MD?
  • A: The npi number for DR. Keith A Micetich MD is 1427026137.
  • Q: What are DR. Keith A Micetich MD's specialties?
  • A: DR. Keith A Micetich MD's specialties are Specialist and different specialities.
  • Q: What is the medical license for DR. Keith A Micetich MD?
  • A: The medical license number for DR. Keith A Micetich MD is 26274 and issued in TN in USA.
  • Q: Where is DR. Keith A Micetich MD practice location?
  • A: DR. Keith A Micetich MD is practicing at 72 Physicians Dr, Jackson, TN 38305.
  • Q: How to contact DR. Keith A Micetich MD?
  • A: You can contact DR. Keith A Micetich MD via 731-668-4455.