Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH A MICETICH, MD
ActiveDR. KEITH A MICETICH, MD is a Specialist healthcare provider located in JACKSON, Tennessee. NPI 1427026137 is currently active in the NPPES registry. Verify at CMS.
Specialist · JACKSON, TN
Registration Details
- NPI Number
- 1427026137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.289918572992 yrs)
- Last Updated
- Nov 2, 2011
- License
-
26274 (TN)
Practice Information
- Address
-
72 PHYSICIANS DRJACKSON, TN, 383052070Browse TN providers · Browse ZIP 38305
- Phone
- 7316684455
- Fax
- 7316689007
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| PATRICIA RENEE OBI | MD | 1043213150 |
| DR. LARRY W CARRUTH | M.D. | 1306835483 |
| DR. JACOB AELION | M.D. | 1679551501 |
| SHYAMAL SARKAR | MD | 1841260767 |
| MILTON O MEDEIROS | MD | 1366410599 |
| DR. ODIE L BATTLES JR. | M.D. | 1164491387 |
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.