Individual provider · Type 1 NPI
Cody Brennan Keeth
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1104446210
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Fax (410) 706-6976
Mailing address
PO Box 64226
Baltimore, MD 21264-4226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R254126 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104446210
Cody Brennan Keeth's National Provider Identifier is 1104446210, issued on Apr 17, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Sep 11, 2025.