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KEITH ANDREW HAZEN CERTIFIED PEDORTHIST
NPI 1073387452
Pedorthist in Manassas, VA

Active since November 07, 2023
10778 MONOCACY WAY, MANASSAS, VA 20112(703) 472-4815 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Andrew Hazen Certified Pedorthist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH ANDREW HAZEN CERTIFIED PEDORTHIST (NPI 1073387452) is an individual pedorthist provider in Manassas, Virginia, licensed in Virginia (CPED4707) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1073387452
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameKEITH ANDREW HAZENCredential: CERTIFIED PEDORTHIST
Location Address10778 MONOCACY WAYManassas, VA 20112-2427
Mailing Address10778 Monocacy WayManassas, VA 20112-2427
Phone(703) 472-4815
Sole ProprietorNo
Enumeration DateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1073387452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
License✔ Licensed in VA · CPED4707
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
10778 MONOCACY WAY, Manassas, VA 20112
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Hazen's NPI number?

The NPI number for Keith Hazen is 1073387452. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Keith Hazen located?

Keith Hazen practices at 10778 Monocacy Way, Manassas, VA 20112. The listed phone number is (703) 472-4815.

What is Keith Hazen's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Keith Hazen was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.