Mountcstle, Keitha K
Mountcstle, Keitha K is an individual health care provider with primary practice located at 205 W Decatur Ave , Clovis CA 93611-7124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Mountcstle, Keitha K can be contacted via phone (559) 322-0868.Contact Information
Primary practice address
205 W Decatur Ave
Clovis CA 93611-7124
Phone: (559) 322-0868
Fax: (559) 278-6360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 10646 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 364SN0000X | 708 | California |
Profile Details
| NPI number | 1972500189 |
|---|---|
| LBN Legal business name | Mountcstle, Keitha K |
| Credentials | RN, ED.D., CNS, NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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