Keith Robert Edwards M.D.

NPI 1093718371 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1093718371
Gender Male
Enumeration Date 05/31/2005
Last Updated 03/12/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
1205 TROY SCHENECTADY RD
SUITE 105
LATHAM NY, 12110-1074, US
Phone (518) 785-1000
Fax (518) 785-5000
Business Location
6 JOHN ST
HOOSICK FALLS NY, 12090-1604, US
Phone (518) 205-5153
Fax (518) 205-5238
Toxanomy
Taxonomy Code 2084N0400X
License State Vermont
License Number 042-0005321
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According to our database, Dr. Keith Robert Edwards M.D. NPI is 1093718371, taxonomy code is 2084N0400X and license number is 042-0005321, license state is located at Vermont. Keith Robert Edwards M.D. physically located at 1205 Troy Schenectady Rd, Latham NY, 12110-1074. NPI Number Keith Robert Edwards M.D. has the Individual type.

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1093718371 NPI number is provided on an as is basis without warranty of any kind. 1093718371 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Robert Edwards M.D. are for informational purposes only.