Provider Demographics
NPI:1821297961
Name:STOKES, KEITH I (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:I
Last Name:STOKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:239 BOWLING GREEN RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MS
Mailing Address - Zip Code:39095-5167
Mailing Address - Country:US
Mailing Address - Phone:662-834-1321
Mailing Address - Fax:662-834-5240
Practice Address - Street 1:239 BOWLING GREEN RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MS
Practice Address - Zip Code:39095-5167
Practice Address - Country:US
Practice Address - Phone:662-834-1321
Practice Address - Fax:662-834-5240
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS19832207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSFS0344642OtherDEA