Provider Demographics
NPI:1538554456
Name:DASINGER, KEITH ALLEN
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:ALLEN
Last Name:DASINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4976 COUNTY ROAD 68
Mailing Address - Street 2:
Mailing Address - City:ARITON
Mailing Address - State:AL
Mailing Address - Zip Code:36311-6826
Mailing Address - Country:US
Mailing Address - Phone:334-618-0971
Mailing Address - Fax:
Practice Address - Street 1:2316 WALKER BUIDLING
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-6826
Practice Address - Country:US
Practice Address - Phone:334-844-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program