Allen, Keith Ray

Allen, Keith Ray is an individual health care provider with primary practice located at 499 Loma Alta Ave , Los Gatos CA 95030-6227. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Allen, Keith Ray can be contacted via phone (408) 332-6831.

Contact Information

Primary practice address
499 Loma Alta Ave Los Gatos CA 95030-6227
Phone: (408) 332-6831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1023182706
LBN Legal business name Allen, Keith Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023182706 NPPES
California Other 41907 COUNTY ID

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