National Provider Identifier
Keith Charles Stube
Keith Charles Stube is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Williamsville, NY and a listed phone number of (716) 839-5858.
Profile Overview
- NPI
- 1053377325
- Provider Type
- Individual
- Primary Specialty
- Orthopaedic Surgery Physician
- Enumeration Date
- April 25, 2006
- Last Updated
- May 21, 2020
Practice Location
- 180 Park Club Ln Ste 225
- Williamsville, NY 14221-5260
Phone: (716) 839-5858
Specialties
- Orthopaedic Surgery Physician (207X00000X)
Full Record
- NPI
- 1053377325
- Entity Type
- Individual
- Last Name
- Stube
- First Name
- Keith
- Middle Name
- Charles
- Mailing Street Address
- 180 Park Club Ln Ste 225
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5260
- Mailing Country
- US
- Mailing Phone
- (716) 839-5858
- Practice Street Address
- 180 Park Club Ln Ste 225
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5260
- Practice Country
- US
- Practice Phone
- (716) 839-5858
- Enumeration Date
- April 25, 2006
- Last Updated
- May 21, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopaedic Surgery Physician (207X00000X)