Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith A Micetich, MD

Individual provider Specialist · NPI 1427026137

Dr. Keith A Micetich, MD is a Specialist in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

72 Physicians Dr
Jackson, TN 38305-2070
Phone: (731) 668-4455
Fax: (731) 668-9007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 26274 (TN)

Record details

NPI number1427026137
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESNovember 2, 2011
Mailing address72 Physicians Dr, Jackson, TN 38305-2070

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