Provider Demographics
NPI:1295990745
Name:KEETON, STEVEN JOSEPH
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOSEPH
Last Name:KEETON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 JOHNS HOPKINS DR STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7268
Mailing Address - Country:US
Mailing Address - Phone:252-752-7422
Mailing Address - Fax:252-752-5424
Practice Address - Street 1:835 JOHNS HOPKINS DR STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7268
Practice Address - Country:US
Practice Address - Phone:252-752-7422
Practice Address - Fax:252-752-5424
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC3630224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist