Provider Demographics
NPI:1366330946
Name:KEISTER, DIONNE SUZANNE
Entity type:Individual
Prefix:
First Name:DIONNE
Middle Name:SUZANNE
Last Name:KEISTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2001
Mailing Address - Country:US
Mailing Address - Phone:419-461-2469
Mailing Address - Fax:
Practice Address - Street 1:831 CLAY AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2001
Practice Address - Country:US
Practice Address - Phone:419-461-2469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide