Provider Demographics
NPI:1104084417
Name:KEYSER, WILLIAM L (LPN)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:L
Last Name:KEYSER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 CASTLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4308
Mailing Address - Country:US
Mailing Address - Phone:215-517-8722
Mailing Address - Fax:215-517-8723
Practice Address - Street 1:728 CASTLEWOOD RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4308
Practice Address - Country:US
Practice Address - Phone:215-517-8722
Practice Address - Fax:215-517-8723
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN105484L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse