Blackwell, Keith Allen

Blackwell, Keith Allen is an individual health care provider with primary practice located at 42455 10Th St W Ste 103 , Lancaster CA 93534-7060. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Blackwell, Keith Allen can be contacted via phone (661) 341-3900.

Contact Information

Primary practice address
42455 10Th St W Ste 103 Lancaster CA 93534-7060
Phone: (661) 341-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 1912380437 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 122399 California

Profile Details

NPI number 1912380437
LBN Legal business name Blackwell, Keith Allen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Oct 13th, 2020 - about 5 years ago

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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