Provider Demographics
NPI:1891913752
Name:KEITH, ARTHUR LEE (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:LEE
Last Name:KEITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 HIGHWAY 534
Mailing Address - Street 2:RURAL ROUTE 2
Mailing Address - City:POWASSAN
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:P0H 1Z0
Mailing Address - Country:CA
Mailing Address - Phone:705-724-9810
Mailing Address - Fax:877-442-2981
Practice Address - Street 1:NORTHEAST MENTAL HEALTH CENTRE, NORTH BAY CAMPUS
Practice Address - Street 2:4700 HIGHWAY 11 NORTH
Practice Address - City:NORTH BAY
Practice Address - State:ONTARIO
Practice Address - Zip Code:P1B 8L1
Practice Address - Country:CA
Practice Address - Phone:705-474-1200
Practice Address - Fax:705-495-7814
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.96892084F0202X
CAG517722084F0202X
OH35.0445072084F0202X
TNMD00000257022084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry