Provider Demographics
NPI:1790761047
Name:KEITH, LINDA J (DO)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:KEITH
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:6101 WHIPPLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7617
Mailing Address - Country:US
Mailing Address - Phone:330-537-8114
Mailing Address - Fax:330-537-8063
Practice Address - Street 1:6101 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7617
Practice Address - Country:US
Practice Address - Phone:330-537-8114
Practice Address - Fax:330-537-8063
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2025-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34007151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2275318Medicaid
OH080185622OtherRAILROAD MEDICARE
OHH54525Medicare UPIN
OH4067413Medicare PIN