Tietjen, Keely Reed

Tietjen, Keely Reed is an individual health care provider with primary practice located at 2070 Clinton Ave , Alameda CA 94501-4399. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tietjen, Keely Reed can be contacted via phone (510) 864-1800.

Contact Information

Primary practice address
2070 Clinton Ave Alameda CA 94501-4399
Phone: (510) 864-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA56700 California

Profile Details

NPI number 1639738040
LBN Legal business name Tietjen, Keely Reed
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Jan 3rd, 2022 - about 2 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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