Charlotte Keith
Individual provider Active NPI Licensed Practical Nurse · Culloden, WV
NPI 1154038719 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1154038719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 19714 (WV)
- Practice address
- 1992 Route 60
Culloden, WV 25510 - Phone
- (681) 347-1232
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19714 | WV | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 19714 | WV | Yes |
Addresses
Primary practice location
1992 Route 60
Culloden, WV 25510
Mailing address
900 Virginia St E Ste 400
Charleston, WV 25301-2835
Phone (681) 313-4759
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | MaximCareMobile | Maxim Healthcare Services, Inc. |
Other providers in Culloden, WV
- John Horn II
- Carolyn Hudson
- Melissa Kay Johnson
- Samantha Rene Johnson
- Sara Johnson
- John Paul Lombardi
- Stephanie Lombardo
- Tiffany Harika Middaugh
- Leigh Ann Miller
- Mary Jane Mooney
All providers in Culloden, WV · Licensed Practical Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.