Witherspoon, Keisha

Witherspoon, Keisha is an individual health care provider with primary practice located at 610 Uptown Blvd Ste 2000 , Cedar Hill TX 75104-3528. 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. Witherspoon, Keisha can be contacted via phone (972) 716-2969.

Contact Information

Primary practice address
610 Uptown Blvd Ste 2000 Cedar Hill TX 75104-3528
Phone: (972) 716-2969
Fax: (214) 594-8747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP132272 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201902386NP-PP Oregon

Profile Details

NPI number 1164974986
LBN Legal business name Witherspoon, Keisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Feb 2nd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164974986 NPPES
Texas Other 743838 LICENSE
Texas Other AP132272 LICENSE

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