Matthew Keith
Student in an Organized Health Care Education/Training Program in Portland, ME. Individual provider (NPI-1).
NPI number1801720552
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1801720552
- Entity type
- Individual (NPI-1)
- Name
- Matthew Keith
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2026
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | ME | Yes |
Practice location
148 State StPortland, ME 04101-8700
Phone 808-782-6210
Mailing address
148 State StPortland, ME 04101-8700
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