Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 0401005912 | VA |
NPI | 1477661585 |
---|---|
Provider Name | Dr. Josie Sy Keat |
First Address | Oak Hill, VA 20171-2563 |
Second Address | Oak Hill, VA 20171-2563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 08/07/2007 |