| Key Vitality Solutions, Llc | |
|
7718 Belair Rd Ste 200 Nottingham MD 21236-4062 | |
| (844) 327-3747 | |
| (844) 327-3747 |
| Full Name | Key Vitality Solutions, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7718 Belair Rd Ste 200, Nottingham, Maryland |
| Authorized Official Name and Position | Keysha Dontrea Reid-webb (CRNP) |
| Authorized Official Contact | 8443273747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Vitality Solutions, Llc 1130 Clover Valley Way Ste B Edgewood MD 21040-2186 Ph: (443) 506-3959 | Key Vitality Solutions, Llc 7718 Belair Rd Ste 200 Nottingham MD 21236-4062 Ph: (844) 327-3747 |
| NPI Number | 1538702907 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 11/10/2019 |
| Medicare PECOS PAC ID | 8325473606 |
|---|---|
| Medicare Enrollment ID | O20200114002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538702907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Keysha Dontrea Reid-webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770091753 PECOS PAC ID: 7719238104 Enrollment ID: I20180925000295 |
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