Keene, Kristopher A

Keene, Kristopher A is an individual health care provider with primary practice located at 67780 E Palm Canyon Dr , Cathedral City CA 92234-5441. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keene, Kristopher A can be contacted via phone (760) 770-1277.

Contact Information

Primary practice address
67780 E Palm Canyon Dr Cathedral City CA 92234-5441
Phone: (760) 770-1277
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51625 California

Profile Details

NPI number 1336190172
LBN Legal business name Keene, Kristopher A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 22nd, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336190172 NPPES
Other 007906261N HUMANA
Other 51625 HUMANA

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