Keith Lawrence Kueter, RN

Individual provider Active NPI Community Health Registered Nurse · Oakland, MS

NPI 1760070783 · NPPES record last updated Jan 5, 2021

Key facts

NPI
1760070783
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
893494 (MS)
Practice address
1039 Springhill Rd
Oakland, MS 38948-2344
Phone
(901) 359-3799
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
893494MSMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 893494 MS Yes

Addresses

Primary practice location

1039 Springhill Rd
Oakland, MS 38948-2344

Mailing address

1039 Springhill Rd
Oakland, MS 38948-2344
Phone (901) 359-3799

Other names

  • Keith Lawrence Kueter Professional name

Other providers in Oakland, MS

All providers in Oakland, MS · Community Health Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.