Dr. Keith Edward Korneisel , DDS, LMT
Massage Therapist • Pinellas Park, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Korneisel has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Keith Korneisel, DDS, LMT was a registered Massage Therapist practicing in Pinellas Park, FL. Throughout an active medical career spanning 9 years, Dr. Korneisel provided care at the practice location at 6447 PARK BLVD N until profile deactivation on 2021-11-29.
Practice Location & Contact Primary Location
6447 Park Blvd N
Suite 3
Pinellas Park, FL 337813139
Specialty Benchmarks & Practice Insights
Comparative analytics for Massage Therapist in Pinellas Park, FL
Practicing in Pinellas Park, FL (7145 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 225700000X
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 29, 2021
NPI status registered as active in NPPES database
Registered at 6447 PARK BLVD N, SUITE 3, PINELLAS PARK, FL 337813139 (Tel: 7275416323)
Registered at 420 48TH ST N, ST PETERSBURG, FL 337137240 (Tel: 7276420380)
Recorded as KEITH KORNEISEL, DDS, LMT
Massage Therapist (License #MA0004241 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
420 48th St N
St Petersburg, FL 337137240
Phone: 7276420380
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