Search › Pennsylvania › 343900000X
Keith Custus
NPI 1720959968 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6639 Walker St
Philadelphia, PA 19135 - Phone
- (445) 232-8948
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania