Keckeisen, Grace R

Keckeisen, Grace R is an individual health care provider with primary practice located at 2705 S Alma School Rd Ste 2 , Chandler AZ 85286-4400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Keckeisen, Grace R can be contacted via phone (480) 438-6949.

Contact Information

Primary practice address
2705 S Alma School Rd Ste 2 Chandler AZ 85286-4400
Phone: (480) 438-6949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN090482 / AP0064 Arizona

Profile Details

NPI number 1184696569
LBN Legal business name Keckeisen, Grace R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 4th, 2020 - about 4 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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