All Medicaid billing entities listing KEITH, JACK (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Maine | 1 | $678.73 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ST. MARY'S ANESTHESIA ASSOCIATES, P.A. | LEWISTON, ME | Anesthesiology Physician | $678.73 |