Benjamin Trace Keaton is a student in an organized health care education training program in Lewisburg, WV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Benjamin Trace Keaton NPI is 1558935015. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1464 JEFFERSON ST N
LEWISBURG, WV
ZIP 24901-380
Phone: (304) 645-3220
Fax: (304) 647-1273
The enumeration date for this NPI number is 5/18/2021 and was last updated on 5/18/2021.