Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A44856 | CA |
NPI | 1083786818 |
---|---|
Provider Name | Christine A. Keeling |
First Address | Oakland, CA 94612-3429 |
Second Address | Santa Clara, CA 95051-5329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 13/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A448560 | (05) | CA |
F72053 | (02) |