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Contact Information

PATHRUSIM L KEAFFABER, CNP
5000 KY-321
PRESTONSBURG, KY41653
 Phone: 606-886-8511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PATHRUSIM L KEAFFABER · (Male)

NPI # 1225993223
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 12/22/2025
Last updated 12/22/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • KY License # 4049598
  • WV License # 82693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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