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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. NICOLE C KEETER, PA-C

Active

MRS. NICOLE C KEETER, PA-C is a Physician Assistant healthcare provider located in FORT MILL, South Carolina. NPI 1396997110 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT MILL, SC

Registration Details

NPI Number
1396997110
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2008 (17.849887772864 yrs)
Last Updated
Jun 17, 2019
Licenses
0110003081 (VA)
PA030560 (DC)
TL3251 (SC)

Practice Information

Address
1700 1ST BAXTER XING STE 101
FORT MILL, SC, 297088950
Browse SC providers · Browse ZIP 29708
Phone
8038023376
Fax
8038023329
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FORT MILL, SC

Name Credential NPI
SHERRY D. SHERMAN P.A-C 1376571547
MICHAEL PATRICK ROBERTS PA-C 1922036862
MRS. HEATHER ELIZABETH SHIFLETT PA-C 1619901568
MRS. SHAWNIE RENEE PERKINS MSPAS, PA-C 1740477207
KACIE JO COSTELLO MOODY PA 1841461373
KISHOR VALAJIBHAI PATEL PA-C 1841613437
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.