National Provider Identifier
Keith Neiswonger
Keith Neiswonger is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Elma, NY and a listed phone number of (716) 626-2222.
Profile Overview
- NPI
- 1588258354
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- February 23, 2021
- Last Updated
- February 23, 2021
Practice Location
- 2711 Transit RD Ste 119-121
- Elma, NY 14059-9041
Phone: (716) 626-2222
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1588258354
- Entity Type
- Individual
- Last Name
- Neiswonger
- First Name
- Keith
- Mailing Street Address
- 2711 Transit RD Ste 119-121
- Mailing City
- Elma
- Mailing State
- NY
- Mailing ZIP Code
- 14059-9041
- Mailing Country
- US
- Mailing Phone
- (716) 626-2222
- Mailing Fax
- (716) 626-2220
- Practice Street Address
- 2711 Transit RD Ste 119-121
- Practice City
- Elma
- Practice State
- NY
- Practice ZIP Code
- 14059-9041
- Practice Country
- US
- Practice Phone
- (716) 626-2222
- Practice Fax
- (716) 626-2220
- Enumeration Date
- February 23, 2021
- Last Updated
- February 23, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)