Organization · Type 2 NPI
Keota Family Practice
Family Nurse Practitioner · Keota, IA
NPI number
1003628751
Active
Practice location
302 E Broadway Ave
Keota, IA 52248-9402
Fax (833) 740-3624
Mailing address
PO Box 138
Keota, IA 52248-0138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1003628751
Keota Family Practice's National Provider Identifier is 1003628751, issued on Jan 21, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Keota, IA. The record was last updated on Oct 24, 2025.