Keith & Moustafa, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEITH & MOUSTAFA, LLC

Practice address

9635 Southern Pine Blvd Ste 126
Charlotte, NC 28273-5558

Phone

(704) 749-3808

Fax

(866) 408-8142

NPI assigned

May 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juenarrl Keith

Title

Owner

Phone

(704) 749-3808

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1972895423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-749-3808",
            "fax_number": "866-408-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-749-3808",
            "fax_number": "866-408-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH & MOUSTAFA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JUENARRL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-749-3808"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dawn Keever, MSN, RNFA
• Sarah Ann Kegley-Parris
• Crystal Ann Kegley
• Grace Ann Kegley, PTA
• Christel N Keisler, M.D.
• Keith Caring Hands Inc
• Keith Clinic Estramonte Chiropractic
• Keith Clinic of Chiropractic, P.a.
• Keith Wellness & Rehabilitation Center, P.a.
• Ava Claire Keith, DPT

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.